CREDIT CARD FORM
Your Credit Card is Safe with DISCOVERY INDOCHINA CO., LTD

Please debit (Amount) ................................................................... USD

Against Credit Card : .............................................................. ..............................................................
[ VISA, MASTER,  or JCB]

Credit Card No. .............................................................................

Cardholder Name : .........................................................................

Expiry date : ................................................................................

E-mail : .......................................................................................

Please advise the last three-digit number or four digit number
appearing on signature panel  : .................................. ...........

For payment of  (Trip code if any): ...................................................

Hotel name : ......................................................................................

Guest name : .....................................................................................

E-mail address : .............................................................................

Signature of Cardholder : ...............................................................

Date : ........................................................................................

*********************** IMPORTANT **********************

Please print this form, fill-in your details and fax it back to our Hanoi Office at (84.4) 7164133
Att. Mrs. Kim
E-mail : info@vietnamhotelsdiscount.com

We make your online reservation extremely satisfying, comfortable and without apprehension over your security and privacy.