Reservation form for Chaine Thailand dinner in July 2019

1. Dinner Reservation Form
Venue :
Date :
Waiting for Clara
2nd Floor, Ruamrudee Grove, 51/2 Ruamrudee Road
Wednesday 31st July 2019
Cocktail : 7.00 pm
Dinner : 7.45 pm
Dress Code : Smart Casual with Chaîne
Name - Mr/Mrs/Ms/Dr:
Name of Guest # 1:
Name of Guest # 2:
Member: THB
Guest: THB___________ 7,350 TOTAL:______________
Tel/Mobile:
Email:
Please let us know if you have any food allergies or special dietary needs:
Visa or MasterCard - Please specify: Issuing Bank:
Card Holders Name:
Card Number:
Card Expiry Date: Security # (3 digits):
Cardholders Signature:
Please return this completed reservation form to Khun Chotirod:
office@chainethailand.com or Fax: 02-234-7574
Payment by electronic transfer: Chaîne des Rôtisseurs, Kasikorn Bank, Mahaprutaram Branch,
Current account number: 012-1-076195
Please be sure to fax or email the pay-in slip
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_________ 6,450