1. Payers data

First name

Last name

Street

House Number

City

Zip-Code

Province

Country

Phone (optional)

Fax (optional)

E-Mail

Nationality

Passport-No.

Passport valid until

 2. Non-refundable, pre-payment desposit for room-booking in Smile House Resort

Number of Guests

Check-in date

Check-out date

Deposit amount in Thai Baht
(in letters)

Deposit amount in Thai Baht
(in digits)

I hereby authorize Smile House Resort to charge the above amount to my credit card.
Please note: in case of cancellation, a fee of a one night's stay will be charged
Advance payment must be at least 20% of the total charge