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This
is to authorise for online payment submit.
Window
Tour Service Co.,Ltd
41/181 Soi-Inthamara 29,Suthisarn Road,
Samsennai,Phayathai,Bangkok 10400,Thailand.
Tourism Authority of Thailand license no.,12-00381
Please
Fill Up this form and
Fax to Bangkok Office 662-6160967
Arrival
Date: ________________________ Departure
Date:___________________________
Guest
Name: __________________________________________________________________
(
same name on Booking )
Cardholder's Name:____________________________________________________________
(same
name Booking & Your Credit Card)
Visa Card Number:
___________________________________ Security Code________
Master
Card Number:_________________________________
Security Code________
( Security
is 3 or
6 digit number that is print on the back of Credit
Card )
Credit Card Expire Date: _______________________________________________________
I hereby authorize a charge
of Amount and Currency below.
US-Dollar:___________________________
Thai-Baht: _______________________________
Amount in Letter : _____________________________________________________________
Payment
Of : __________________________________________________________
( Hotel ,Package Tour , Air-Ticket, Transportation,
etc., )
Cardholder's
Billing Address & Street:___________________________________________
_____________________________________________________________________________
Country: __________________________________________Zip
Code : __________________
Area Code: ___________
Tel: _______________________ Fax:_______________________
E-Mail
Address : _____________________________________________(
Important )
Signature: __________________________________________________
Date:____________
(
same signature on Your Credit Card )
Thailand's Nation-Wide-Hotel & Resort-Booking
/ save up to 75% of Hotel Rates.
Please
contact us if you do not receive confirmation-mail within 6 hours
please
email to E-mail info@thailandvoyage.com
www.thailandvoyage.com
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