I hereby authorize PATTAYA BAY HOTEL, Pattaya, Thailand,  to charge

Amount : Thai Baht                                                                                          

Date : Check-in                                      Check-out                                          

Cardholder : Name                                                           (As appears on card)

Guest : Name                                                                    (If different from above)

Card : Number                                                                                                  

Expiration : Date                                    Card Company :                                                                    

Mastercard* : Please write the (last) 3-digit security number shown on back of card               

AmEx* : Please write Billing address                                                                                                  

Country :                                                       SIGNATURE : ___________________________

Date : __________________________

****************************** IMPORTANT *****************************
Please kindly print this form; fill in your details; and fax back to our Bangkok Office at +66 -3830-6258
E-mail : Attn : RESERVATION MANAGER rsvn@pattayabayhotel.com

Reminder* : NO-SHOW FEE will only be exercised in case of failure to appear on day of reservation, or cancellation notice of less then 48 hours.
Should guest arrive at the hotel, this charge will be cancelled and all normal fees will be assessed in full.