I hereby authorized  BAAN THAI RESORT ,HUAHIN   to charge the

amount of BAHT                                                                                 ________

from __                                ___ to:                                           _____________

Cardholder's Name :                                                                      (as it appears on card)

Guest's Name :                                                                             (if different from above)

Card Number :                                                                                    _______

Expiry date :                                     Card company :                                        

Country:                                               

Master Card : write down the last 3 digits show on the back of the card ___________

AMEX : please inform Billing Address :_________________________________________

SIGNATURE : _______________________________ Date : _____________________

*********************** IMPORTANT **********************

Please kindly print this form, fill-in your details and fax it back to our Bangkok Office at
(66 2) 541-9574 Att. Miss.Varin E-mail :rsvn@asianetonline.com