Reservation form for event in Bangkok November 2019

1. Dinner Reservation Form
Venue :
Date :
Uno Mas
54th Floor, Centara Grand at CentralWorld
Friday 29th November 2019
Cocktail : 7.00 pm
Dinner : 7.45 pm
Dress Code : Men - Smart Elegant with Chaîne
Women - Evening Dress with Chaîne
Name - Mr/Mrs/Ms/Dr:
Name of Guest # 1:
Name of Guest # 2:
Member: THB
Guest: THB
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:
Your place is confirmed after payment. 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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7,600
8,600