fax it

Secure Payment Fax Form

 Thaifocus

Please print this form, ensure that it is fill it out completely and correctly then fax it to
Gem Travel: +66(0)53 904033 or 818755 +add you international dialing code. Omit the (0) if you are faxing from outside Thailand

I declare that this card belongs to me and authorize the charge of  

US$ __________ to my tick box MasterCard  tick box  Visa

I accept to pay the balance of US$ _______ on (dd/mm/yy) ___/___/___

 Payments are credited to our Thai account, translated into the Thai Baht (THB) equivalent. Charges should appear on your credit card statement in your local currency based on the exchange rates and according to your card-issuers policies.  *The payee name on your statement will appear as Gem Travel - Chiang Mai or similar.
Cardholders Name:
 (exactly as it appears on card)		  
Travel Plus Number:  
Card Number:
        -         -         -        
Expire Date:
Month: Year:
Security Code: 
 
The last three-digit number appearing on signature panel of your MasterCard or Visa
Cardholder's Billing Address:
(These details are required!)
Building:
Street:
District:
City:
State/Province:
Zip:
Country:
Passport Number & Nationality:  
E-mail Address:  
Telephone Number:
Area code: Number:
Fax number:
Area code: Number:
Details or Service(s) / Dates:
 e.g. Hotel check in date etc)		  

 
by signing this form you agree to the charges above and declare that all details are correct and that this credit/charge card belongs to you.
Signature: 
(as it appears on card)		  

 

Please print this form, fill it out completely, then fax it to Gem Travel, +66(0)53-904033 or 818755

Interactive hotel finder. Find the hotel that suits your budget & family with our easy to use system. Find similarly priced hotels, sort by name or price. Using our smart forms will ensure that booking is a breeze. Click for more! OR use the interactive hotel searcher for your ideal choice.

*We charge in dollars and submit our claim, in Thai Baht, to our bank. There is a delay in crediting our account (by the local bank. The overseas card issuer (via visa or MasterCard) translates the amount back into the currency chosen by the card holder. If the US$ is stronger on the day this occurs then the bill will be less than the total US$ amount billed by Thaifocus/Gem Travel. It the Thai currency rises in value (during the time between our submission and the time when the bank submits this to visa) then the amount will be slightly more than the the prices listed on our hotel rates.

Home > Travel Center

Thaifocus.com