Phang Nga Discovery Tour Ltd., Part

6/1 Prabaramee Road Patong beach, Krathu

Phuket ,Thailand 83150

Tel / Fax 66 - 76 - 340636 HP.66 1 9788545

e-mail: jeroen@phuket-discovery.com

Credit Card Payment Form

  Phang Nga Discovery Tours requires 40 % deposit to hold my Reservation for.

• Accommodation name ____________________________________

• Tour name _____________________________________________

• Period from ____________/_______/_______to ______/____/_______

But full payment will collect on arrival by our company.

 To deposit your credit card with Phang Nga Discovery Tours, please complete the following form and faxing it back to us at no. 66 76 340636

  I hear by authorize Phang Nga Discovery Tours Ltd., Part ( Phuket ) to deduct a total amount for deposit

  __________________Thai bath or  U$  from my: Visa / Master / Amex / American Express card  (Please circle ).

Please add 5 % to your total for processing charge.

Total amount in( Thai bath or US$ ) including 5 %   = __________________________     Thai baht or US$

Full name _______________________________________________

Credit card No. ___________________________________________

Expiry date /Month / Year__________________________________

Passport number _________________________________________

Nationality ______________________________________________

Country ________________________________________________

Issue at ________________________________________________

Signature as it appears on the card ______________________

Cancellation / No show charge

  - All cancellation must be in writing (fax 66 76 340636 or e-mail:jeroen@phuket-discovery.com ) 15 days before arrival in order to receive full refund.

No show

- Full pay deposit will be charge.