Chaine des Rôtisseurs - Reservation Form

1. RESERVATION
OMGD DINNER AMICAL
Date sent:
Date: 19th
January 2018
Our Dinner Venue: ITALASIA Show Room Pattaya North Road Naklua
Dinner: 19:00
Dress: Casual, Members with chain or ribbon.
Name: Mr. / Mrs. / Ms.
Phone / Mobile :
E – mail address :
Name of Guest 1 :
Name of Guest 2 :
Member @ Baht 4.500 Guest @ Baht 5.000 Total + Baht
E-mail or Fax this completed booking form to:
E-mail: booking@chainepattaya.com
Contact: Peter Windgasse, Bailli
Mobile: 0800 88 77 66
Fax: 038 - 252 990
Payment by electronic transfer or cheque:
Chaine des Rôtisseurs
Siam Commercial Bank PCL
Pattaya Klang Branch
Current account number: 965-206931-5
Please be sure to e-mail or fax the pay-in slip