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                  * ASIA TRAVEL CREDIT CARD PAYMENT FORM *

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ATTENTION: ASIA MIDDLE EAST TOURS LLC   FAX NO:(+971 4) 266-9730

           



               



This is to authorize ASIA MIDDLE EAST TOURS LLC. to debit the total amount of 



**  ___________________________________________________________________

                             (amount in words)



AED DIRHAMS** ONLY (AED___________ net)

 



against my credit card as payment for this reservation request.



Please fill-in the blanks for documentation purposes

(data are to appear in the booking order):



Name/s of Room Occupant/s: ____________________________________________



# of Room/s & Room Type/s: ____________________________________________



Special Requests: _____________________________________________________

                           (subject to availability)



Arrival Flight No: ____________  Arrival Flight Time: _______________



# of Adult/s & Child/ren (below 12 y.o.) to Occupy Room: ____________  



COMPUTATION FOR ACCOMMODATION at _________________________________:



Length of Stay: _________________ to _________________ (______ night/s)



Promotional Rate: AED ________________.00 net x _______ night/s 



                  x _______ room/s = AED_______________.00 net 



Total Amount to be Debited from Card: 



                  AED________________.00 net



Exchange Rate Used: US$1.00 = AED _______.____ (As of, ___/___/___)



CREDIT CARD DETAILS:



a. Encircle Credit Card Type:   VISA   MASTERCARD  Cards Only 



b. Name Printed on Card:  _____________________________________________



c. Credit Card Number: ________________________________________________



d. Expiry Date: _______________________________________________________



e. Billing Address: ___________________________________________________



f. Tel. #/s: pls. specify country code & area code  ___________________



g. E-mail Address/es: (1) ___________________ (2) _____________________







___________________________               _____________________________

  SIGNATURE OF CARDHOLDER		             DATE



** Option date to fax ASIA TRAVEL CREDIT CARD PAYMENT FORM or SUPPLY 

CARD DETAILS: AT LEAST 3 DAYS PRIOR TO CHECK-IN DATE.

** For booking above to be activated, guest is required to e-mail 

the contact person of hotel at hand notifying that this ASIA TRAVEL 

CREDIT CARD PAYMENT FORM had been completely filled-out & faxed to 

(+971 4) 266-9730 - kindly indicate fax no. used. 

** In the event that guest failed to inform Asia Travel of the 

successful faxing of this form to our office, Asia Travel will NOT 

be held liable for the probable non-booking of this reservation 

request. 

** A 5.5% credit card processing charge will be extended to credit card

if cancellation is tendered 1 DAY AFTER BOOKING HAS BEEN CONFIRMED. 

** Should you have further queries, please feel free to get in touch 

with us at: Suite 306 - 3rd Floor, Al Bassam Centre Port Saeed Building,
Deira Dubai, United Arab Emirates P.O. Box 112758

United Arab Emirates 

TEL. NOS: (+971 4) 262-6751

FAX NOS: (+971 4) 266-9730

Office Hours: (7 Days a Week : 09:00H-18:00H) GMT+4 Dubai Local Time