Credit Card Authorization Form [HOME]
For safety reasons, we recommend that the payment be done by FAX. The
intructions are given below: Credit Card Authorization Form Cardholder's Name:_______________________________________________________ Home Address :_______________________________________________________ _______________________________________________________ Country:_______________________Zip Code:________________ I hereby authorize Royal Exclusive Travel Co., Ltd. to charge: Amount (USD / Thai Baht): (_____________) Amount in Word:________________________________________(USD/Thai Baht only) on my Credit Card - ( ) Visa Card ( ) Master Card ( ) American Express Card Number: (__________________________________), Expire on: (____________)
Signature of Cardholder:_____________________ Date:_____________________ =============================================================== For Official Use Only Approval Code:_____________________Amount in Thai Baht________________ ================================================================ |
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