Payment
order to:
A&F
TOUR TRAVEL COMPANY LIMITED
120 Ground Floor, Kasemkij Building, Silom Road,
Bangrak, Bangkok 10500 Thailand
Tel : (66 2) 266 5105 ~ 6 Fax : (66 2) 267 0364
Type of Card: [___] VISA [___] MASTER [___]
AMEX
Payment
for___________________________________________________________________
Name
as it appears on card :_____________________________________________________
Address
:_____________________________________________________________________
City
/ State: ___________________________Country: ________________________________
Tel
:__________________________ Fax:___________________________________________
Passport
Number /Nationality :_________________________________Expire_____________
Card number : [___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Expiration
Date : ______________________
Amount
Authorized to deduct : ___________________
Total
in letter: ________________________________________________
Signature as on cards : ___________________________
Date
: ___________________________
We truly appreciate your support and are looking
forward to providing you with our great services.
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