TK.PALACE HOTEL THAILAND

Credit Card Payment Form

To guarantee your booking, please printout this form, complete all the information and fax to
TK.PALACE HOTEL THAILAND Fax (662) 574-2622

(The required amount to be paid is full payment of the first night of total booking)


I hereby authorized TK.PALACE HOTEL THAILAND to charge the amount of

Thai Baht _________________________________________________

to my credit card for my accommodations from _________________________ to : _________________________

Name : ________________________________________________ Country : _____________________________

Credit card company : ________________________________________________

Credit card no. __________________________________ Expiry date : _________________________________

SIGNATURE : ________________________________________ Date : _________________________________



TK.PALACE HOTEL THAILAND
54/7 Chaengwattana Rd. Soi 15 Laksi ,Bangkok THAILAND. 10210.
Tel. (662) 574-1588 : Fax. (662) 574-2622