Please complete this payment form using the information received direct from our "Deposit advice Email" On form completion and clicking the SEND button you will be directed to our Online Secure Payment Gateway.   Payment/Deposit for your White Rose Phuket Booking:         Reference Number: [4 digits obtained from email]         Email Address:         Confirm Email Address:         Deposit Amount: Thai Baht

 

The White Rose Suites, Soi Sansabai Patong call Tel: (66) 076 340 904, (66) 076 345 258 Fax : (66) 076 345 259 or email booking@whiterosephuket.com

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