Hoteldiscovery
Credit Card Information Fax Form
Authorized by Happy Discount Limited Partnership
Please Print this form, fill out completely and fax it to the following fax number:
Thailand :  +66-02-531-3370 / +66-02-531-4430  

Fax-in Payment Transaction Date :
 
Personal Particulars
Name :...................................................................................................................
Telephone :...................................................................................................................
Email :...................................................................................................................
Payment Particulars
Credit Card Type Visa Master Amex Diners Club
Credit Card Number :.................................................................................................................................
secure number
(The last 3 to 4 digit number
appearing on the signature panel)		 :.................................................................................................................................
Card Holder's name  
Expiry Date (MM/YYYY) :.................................................................................................................................
Remarks :.................................................................................................................................
  :.................................................................................................................................
Card Holder's Signature :.................................................................................................................................
 
Booking Particulars
Hotel name :...................................................................................................................
Room Type
Check-In Date
(day/month/year)
Check-Out Date
(day/month/year)
 
 		    

 
 Guest Name :
   
I understand that Happy Discount Limited Partnership will appear on my credit card statement for this transaction and that should I have any problems with this order,
I can contact Happy Discount Limited Partnership for a prompt resolution by emailing
info@hoteldiscovery.net or calling 662-237-4577.