From :	To :
Total Amount in Thai Baht :
Cardholder's Name :		(as it appears on card)
Guest's Name :		(if different from above)
Card company :	>------- SELCET CARD -------> VISA CARD MASTER CARD AMEX CARD JCB CARD
Card Number :
Expiry date :	Country :

SIGNATURE : ___________________________ Date : _____________________

Remarks :
  

1. For 1 - 3 rooms       1.1 ) Requested Room will not be guaranteed without guest's signature on this payment form.       1.2 ) One night guarantee is required. The charge will be exercised only in case of No-Show             or cancellation less than 72 hours before arrival. If guests come to stay in the hotel, this charge             will be cancelled and guests have to pay in full amount at the hotel. 2. For the group of 4 rooms or more       2.1 ) A non - refunable deposit of total Amount is required.       2.2 ) No refund for group cancellation. 3. There may be some additional conditions during some peak periods.