To guarantee your booking, please printout this form, fill it out completely all the information
and fax to our reservations fax line Thailand : at (66 2) 541-9574

10% deposit for guarantee a room and balance is on arrival at the hotel.

Currently we accept Only Visa, Master Amex or JCB cards.

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I hereby authorized  www.asianetonline.com  to charge the amount of

Thai Baht                                                                         to my credit card

for my accommodations at ____________________________________

Period from ________________________ to ________________________

Guests name :                                                                         

Card Holder Name :                                                                  

Card company :                                        Country:                                   

Card Number :                                                                  

Master/VISA Card - the last 3 digits show on the back of the card :                      

AMEX - 4 digits code :                         Expiry date :                                

SIGNATURE : ___________________________ Date :                         

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