Payment Form

I hereby authorized Grande Ville Hotel

To charge my credit card for the accommodations

Date Check In :

Date Check Out :

Total Amount in Thai Baht :

Cardholder's Name :

(as it appears on card)

Guest's Name :

(if different from above)

Card company :

(VISA or MASTER cards)

Card Number :

Expiry date :

Country :

Please write down the last 3 digits show on the back of the card :

Billing Address :

SIGNATURE :

Date :

Remarks :

1. For 1-3 rooms
   1.1 ) Requested Room will not be guaranteed without guest's signature on this payment form.
   1.2 ) One night guarantee is required. The charge will be exercised only in case of No-Show or cancellation less than 72 hours before arrival. If guests come to stay in the hotel, this charge will be cancelled and guests have to pay in full amount at the hotel.

2. For groups of 4 room or more
   2.1 ) A non - refundable deposit of total Amount at the hotel.
   2.2 ) No refund for group cancellation.

3. There may be some additional conditions during some peak periods.

Wang Burapa, Bangkok 903 Mahachai Road Bangkok 10200 Tel. +662 225 0050, Fax.+ 662 225 7593