| BOTONY
BEACH RESORT-CREDIT CARD FAX FORM |
| I hereby authorized BOTONY BEACH RESORT, PATTAYA to charge the amount of THAI BAHT .
from __ ___
to: Cardholder's Name : (as it appears on card) Guest's Name : (if different from above) Card Number : Master Card : write down the last 3 digits show on the back of the card : Expiry date : Card company : Country: SIGNATURE
: _______________________________ Date : _____________________ ******************************* IMPORTANT *************************** Please
kindly print this form, fill-in your details and fax it back to our
Bangkok Office at (662) 541-9574 |