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CARD FAX FORM Please printout this form, fill it out completely all the information and fax to our reservations fax line Thailand : at (66 2) 541-9574 Full payment will be charged through your credit card after the reservation is confirmed. Currently we accept Visa, Master Amex or JCB cards. |
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I hereby authorized Cyres International Co.,Ltd. to charge the amount of
_________________________________to my credit card Period from _____________________ to _____________________ Guests name : __________________________________________Card Holder Name _______________________________________ Card company __________________ Country __________________Card Number _____________________________________________ Master/VISA - the last 3 digits on the back of the card : _________AMEX - 4 digits code : ________________ Expiry date : ______________ Billing Address : ________________________________________________SIGNATURE : ___________________________ Date : ________________ ***********************
IMPORTANT ********************** You could click here to get alternative payment method. As soon as payment has been received we will either fax or e-mail a "Voucher" to you using which ever method you chose to send us your details. |