Chaine des Rotisseurs Chapitre in Thailand March 2020 reservation form

1. Dinner Reservation Form
Venue: The Residence, Grand Hyatt Erawan Bangkok Hotel
494 Ratchadamri Rd, Lumphini, Bangkok
Date: Saturday March 7th
, 2020
Pre-Dinner: 7.00 pm
Dinner : 7.45 pm
Dress Code : Men: Black Tie with Chaîne
Women: Elegant Evening Gown with Chaîne
Please send your Reservation request by email and your place will be confirmed in the order of receipt.
Email your completed Booking Form to Khun Chotirod at: office@chainethailand.com or Fax to: 02-234-7574
Name of Member:__________________ Mr/Mrs/Ms/Dr________________________________
Name of Guest:__________________ Mr/Mrs/Ms/Dr___________________________________
Member:____________________ THB 8,950
Guest: ______________________ THB 9,950
TOTAL:_____________________
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 #: 012-1-076195
Please be sure to fax or email the pay-in slip