| Payment Form |
| Personal Information |
| Name: |
|
| Last Name: |
|
| E-Mail: |
|
| Age: |
|
| Nationality: |
|
|
| Booking Details |
| Commencement Date: |
ex. 2005/01/31
|
| Course Name: |
|
| Bareboat Charter Type: |
|
| Package Tour: |
|
|
| Credit Card Information |
| Deposit Amount (THB): |
At least 50% of Total Amount
|
| Note: |
1 US$ = 40(approx) Thai Baht (THB).
Please LEAVE OUT the decimal points. Example 750.25 => 750 |
| Credit Card: |
Visa Card Master Card |
|
| Remarks: |
|
| |
|
 |
TOP