Holiday Inn Bangkok-Credit Card Payment Form
To guarantee your booking, please printout this form, complete all the information
and fax to Holiday Inn Crowne  Fax (66 2) 541-9574

(The required amount to be paid is full payment of the first night of total booking)

I hereby authorized Holiday Inn Bangkok to charge the amount

of                                                                              

to my credit card for my accommodations from __________________

to:                                

Guests name :                                                                         

Card Holder Name :                                                                  

Country:                                                       

Against Credit card [ VISA, MASTER or JCB] :                               

Credit card no.                                                                       

Expiry date :                                              

SIGNATURE : ___________________________ Date :                         

*********************** IMPORTANT **********************
Please kindly print this form, fill-in your details and fax it back to our Bangkok Office at (662) 541-9574 Attn. Miss Varin E-mail : rsvn@asianetonline.com
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