ThailandKohChang.net (V.R. Agency Co., Ltd.) Credit Card Payment Form

I, hereby, authorize V.R. Agency Co., Ltd. to charge my VISA Card Master Card JCB Card Amex Card
The amount of: Baht US$
Card number: - - -  
Cardholder's name:
Batch code (4 digit no. - Amex only):
The Last three digit number on the signature panel:
Expiry date:
  Cardholder's Signature: ..................................................
   
Address:
Telephone number:
Fax number:
Passport number:
For the payment of:
eg. Booking of "hotel name"
 

Service Delivery Policy:

  • All costs applied only to the items stated in the webpages. Incidental costs are not included.

Cancellation & Changes in Bookings:

  • Cancellation of bookings must be sent by fax only to +66(0) 2748 6246,8.
  • Changes in bookings must be sent by e-mail to booking@thailandkohchang.net or by fax to +66(0) 2748 6246,8. Please, never send cancellation or booking changes instructions to hotels directly.
  • ThailandKohChang.net will confirm your cancellation or booking changes by e-mail once the process is completed.

Deadlines, Charges, Terms & Conditions for Cancellation & Changes in Booking:

  • No charge for changes in booking or cancellation order received byThailandKohChang.net at least 7 clear working days in advance (excluding Saturdays, Sundays and Public holidays).
  • A charge of 5% on the total amount charged will be applied for changes in booking or cancellation orders received by ThailandKohChang.net at least 3 clear working days in advance (excluding Saturdays, Sundays & Public holidays).
  • A charge of 5% on the total amount plus the cost of the first room-night for each room booked is applied for changes in booking or cancellations made less than 3 clear working days in advance (excluding Saturdays, Sundays & Public holidays).

Please complete this form and fax it to:
V.R. Agency Co., Ltd.
190 Srinakarin Road, Samrongnue, Muang, Samutprakan 10270 Thailand
Tel. +66(0) 2748 6245 Fax: +66(0) 2748 6246,8
Website: www.thailandkohchang.net
E-mail: booking@thailandkohchang.net