Thaifocus Shop Purchase Form
Thaifocus, Thailand and indo-china travel portal - Click for home page

Thaifocus Shop Purchase Form

since 1997 
If the "Send" button does not appear at the end of this form please refresh the page
(F5 on Internet Explorer). If this still does not work email your details.

If you prefer not to use the internet to make payments please use the CREDIT CARD FAX FORM
OR order through our secure server.

Purchase Details

What you wish to buy
Unit Cost $
x Items +Postage
(per item)
Total: * Automatically calculated
Contact Details: If you have a Thaifocus Travel Plus number (TF+), simply enter it in the box provided, fill in your email address then proceed to the next section. If you do not have a Thaifocus Travel Plus number, please fill in all requested contact details leaving the TF+ field empty. Forgot your number?
TF+ Travel Agent Membership # (if applicable)
Salutation:
First Name:
Middle Name:
Last Name:
Email address:
Email address (Again): Please repeat - as we do get many incorrect entries.
(If you have provided a free email address-such as hotmail or yahoo-please provide a permanent POP account email address)
Telephone:  / (Area code/number)
Fax Number: / (Area code/number)
Nationality:  (as in passport)
Country of Residence: I wish to receive your monthly newsletter!
Password: Please repeat: *permits membership profile changes!

This is where your order will be sent. Please fill in carefully.

Address. Please ensure details are correctly entered.
Apartment/Building
Street
District
City
State/Province
Zip
Country

Payment Details

Please complete details exactly as they appear on your credit card
Note The card details provided must in the name of the person receiving services. We cannot issue vouchers, tickets or send goods to persons other than the authorised card holder.

Title: 
First Name: 
Middle Name:
Last Name:
Card Type:
Card Number:  -- - (Please check carefully.) 
Expire Date: (MM/YY)  /
Security Code:
The last three-digit number appearing on signature panel - MasterCard/Visa
*We are currently accepting Visa and MasterCard only.
Payment notes:

  • By completing the details above you agree to have your card debited for the amount above or the amount due as per our advertised rates.

  • You agree that this is your own credit card and that you are fully authorised to use it.

  • Cancellation and operation polices are fully understood and accepted

  • (You should already have checked the rate for your chosen service.  Please fill in the requested details. If you are not sure then leave blank. We will complete this part for you. We will NOT charge you if we cannot get confirmation or if items are out of stock.)

  • *Payments are made in Thailand, translated into the current Thai Baht at that days THB rate. Charges will appear on your credit card statement in your local currency based on the Current Exchange Rate. The description will appear as (or similar to) Gem Travel - Thailand

* (We do not accept personal cheques or Diners Club cards)
Declaration: This is my credit card, I fully understand your operational and cancellation policies and I permit you to debit the amount due.
How did you discover Thaifocus?
What keywords did you use? 
 (if found via search engine)
Comments about the Thaifocus site. 
 Anything you would like us to add/change?

Final Step - Submit Your Details - Press the "Send" button only once and wait for the responder! Please be patient. It may take a few minutes. Do not press your back button whilst waiting for the responder! If you cannot get the message responder to work please email the details.

Press One Time!

*Form copyright Thaifocus © 1986-2009
209/2 Sridornchai Road, Muang, Chiang Mai 50310, Thailand, Tel: +66(0)53 818754, 818932, 818754Fax: +66(0)53 904033, 818755, 271681
info@thaifocus.com http://www.thaifocus.com