| Full Name (as on card) | ||
| Email Address |
| |
| Invoice no. |
| |
| Address |
| |
| Address 2 |
| |
| City |
| |
| State / County |
| |
| Post Code |
| |
| Country |
| |
| Card Type |
| Bank Name : |
| Expiry date |
MM/YY | |
| Card Number | ||
| Security Code | The last 3 digits on your signature strip | |
| Amount |
Thai Baht | |
| Please read carefully | We can only charge cards in Thai baht. Due to exchange rate fluctuations and the fact that the actual exchange rate is dictated by your card company, there may be some difference between our quoted equivalent in other currencies and what appears on your card statement. We regret that this unavoidable. I, the undersigned, agree that my card can be charged in the quoted Thai baht amount | |
| Signature (Please sign after printing) | _____________________________ | |
Please print this page and fax to Olavi Export
+66-28809532 Thank You
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