Biger Map
YOUR RESERVATION DATE:
CARD HOLDER FULL NAME:*
Address:*
Tel:*
E-mail:*
E-mail (retype)*:
Card Type:*
CARDHOLDERS NAME:*
CARD NUMBER:*
3 digit Code on the Backside:*
Expiry Date:*
Code:
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AMOUNT OF GUARANTEE:
Credit Card Authorization Form

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.

Note: Your credit card is NOT CHARGED before your departure from the hotel!
135/1 Nanai Rd.
Patong Beach
  83150 Phuket, Thailand
Tel 66 7634 4837
Fax 66 7634 5088
contact@palmview-resort.com