LETTER OF AUTHORISATION
I DO WISH TO HAVE MY ORDER FORM TO ENDEAVOUR AND PROCEED WITH EXCUTION OF MY ORDER OF CLOTHES.
First name Last name
Address 1 Address 2 City / Province State Postal code Country Tel : Fax :
I, HEREBY AUTHORISE NEW BANGKOK INTERNATIONAL CLOTHIERS LIMITED PARTNERSHIP. TO DEDUCT THE SUM OF US$ FROM MY CREDIT CARD BELOW
AMERICAN EXPRESS VISA MASTER CARD Euro Card A/C No : Valid Until : Date : SIGNATURE AS ON CARD _________________________
AMERICAN EXPRESS VISA MASTER CARD Euro Card
A/C No : Valid Until :
Date :
SIGNATURE AS ON CARD _________________________
Please email, mail or fax this form to :
NEW BANGKOK INTERNATIONAL CLOTHIERS LIMITED PARTNERSHIP. Showroom No. 5 & 7 Sukhumvit Soi 7, Sukhumvit Road, Bangkok Thailand TEL : 2553082, 6503008, 6503009 FAX : 2553081
HOW TO MEASURE YOURSELF Give your exact measurements : Give no allowances
All measurements to be written in inches or centimeters in the box below each figure.
KINDLY CHECK ALL DETAIL BEFORE MAILING THE ORDERS
http://www.bangkokinternational.com