ATTENTION: ____________________________ FAX NO: (009716) 5538572
(pls. state name of contact person for hotel/resort at hand)

This is to authorize AT RESERVATION NETWORK PTE, LTD. to debit the total amount

of ** ___________________________________________________________________

(amount in words)US$ DOLLARS/** ONLY (US$___________ 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 & Children (below 12 y.o.) to Occupy Room: _____________

COMPUTATION FOR ACCOMMODATION at _________________________________

Length of Stay: From _________________ To _________________

(______ night/s)Promotional Rate: US$ ________________.00 net x _______ night/s x _______ room/s

= US$_______________.00 net Total Amount to be Debited from Card: US$________________.00 net/DHS

_______________.00 netExchange Rate Used: US$1.00 = DHS _______.____ (As of, ___/___/___) CREDIT


CARD DETAILS:

a. Encircle Credit Card Type: VISA, MASTERCARD , AMEX 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:
AS SOON Booking is confirmed.

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
(009716) 5538572 **

** 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: P.O BOX 27956, Sharjah , United Arab Emirates TEL. NOS: (009716) 5538570 / (009716) 5538571 During Office hours OR FAX NOS: (009716) 5538572.