| Payment Form |
| Personal Information |
| Name: |
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| Last Name: |
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| E-Mail: |
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| Age: |
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| Nationality: |
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| Booking Details |
| Commencement Date: |
ex. 2005/01/31 |
| Course Name: |
|
| Day Sailing: |
|
| Bareboat Charter Type: |
|
| Adventure Cruise: |
|
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| 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: |
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| |
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