Asia hotels - Directrooms
 
Credit card payment fax we accept Visa, Mastercard and JCB
 
Please , complete and fax to reservations on +66 76 241 021
booking ID .................................................  
your email .................................................  
your fax number .................................................  
your telephone number .................................................  
name ................................................. as shown on credit card statement
address (line 1) ................................................. as shown on credit card statement
address (line 2) .................................................  
city .................................................  
country .................................................  
credit card type Visa Master card JCB please tick one
credit card number .................................................  
credit card expiry date month ...............  year ...............  
amount to pay .................................................  
currency US$ Thai Baht please tick one
I authorise DirectGolfing to process the payment for my booking.
card holder's signature ................................................ as it appears on credit card
date .......... /.......... /..........
comment
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
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we will confirm receipt of this fax within 24 hours.
if you do not receive this confirmation please contact us.
address: 8/51 Moo 3 Rasadanusorn road, Rasada, Muang Phuket 83000 Thailand
telephone: +66 76 241 145   facsimile: +66 76 241 021   email: info@directgolfing.com