BAY VIEW VILLAGE-CREDIT CARD FAX FORM
To guarantee your booking, please printout this form, complete all the information
and fax to Bay View Village   Fax (66 2) 541-9574

I hereby authorized BAY VIEW VILLAGE, SAMUI ISLAND  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 :                                                                                     

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 Att. MISS VARIN E-mail : rsvn@asianetonline.com