Credit card payment fax we accept VISA and MasterCard Please , complete and fax to reservations on +66 76 241 021 Booking ID ................................................. Your email ................................................. Your fax number ................................................. Your telephone number ................................................. Name ................................................. as shown on credit card statement Address (line 1) ................................................. as shown on credit card statement Address (line 2) ................................................. City ................................................. Country ................................................. Credit card type VISA MasterCard     please tick one Credit card number ................................................. Credit card cvv (for VISA and MasterCard only) ................................................. CVV is the last 3-digit number on the signature area of the card Credit card expiry date month ...............  year ............... Amount to pay ................................................. Currency US$ Thai Baht please tick one I authorise Directrooms to process the payment for my booking. Card holder's signature ................................................ as it appears on credit card date .......... /.......... /.......... Comment ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ we will confirm receipt of this fax within 24 hours. if you do not receive this confirmation please contact us. address: 9/90-91 Moo 3 Rasadanusorn road, Rasada, Muang Phuket 83000 Thailand telephone: +66 76 241 145   facsimile: +66 76 241 021   email: info@directrooms.com