Credit Card Authorization Form – Please Print Out -

And send To  Palm View Resort FAX NUMBER: 0066-76-345 088

Please note that a certain deposit is required to hold your booking.
Important: Please ensure that you receive confirmation by E-mail on
your booking request prior to sending this Credit Card Authorization.

   YOUR RESERVATION DATE             _______________________________________

 

 

CARD HOLDERS FULL  NAME

_______________________________________

Address

_________________________________

__________________________

Tel

_________________Fax  __________________

Email

_______________________________________

Your Credit Card Details:

 Date:___________________________________

I, ____________________________ (Name) authorise Palm View Resort Patong to


 charge(amount)__________________ to my   (   )Visa ,     (   )Master Card (please tick one)
1 day deposit from…May 01 until ………October 31 ;;;;; .2 day deposit from November 01 until December 14

3 day deposit from December 15 until…. January 20  ;;;;; 2 day deposit…….  January 21 until …….April 30

Cardholder’s Name

__________________________________

Card Number and 3 digit Code on the Backside

___________________________________......________

Expiry Date

___________________________________

Signature as on Card

___________________________________

   Additional requests or orders :   (  Airport Transfer + Flight No., Arrival + Departure Time  , Special Room No. etc. )

 

 

 

 

 ( I AGREE AND READ THE CANCELLATION POLICY AS SHOWN ON THE WEBSITE )

(engl.)    http://www.palmview-resort.com/rates_en.htm;;;;;;;;;;;; http://www.palmview-resort.com/rates_de.htm ( germ.)

 

© 2005 Palm View Resort; all rights reserved.
135/5 Soi Nanai 2, Patong Beach, Phuket 83150, Thailand Tel.: (+66 76) 344 957 
E-mail: booking@palmview-resort.com

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