employee
CREDIT CARD AUTHORISATION FORM
Please fill in the requested details below and enclose this form with a clear photocopy of the front and back of the credit card to us via our fax number +65 6688 5400
NINI
Name imprinted on Card
:
__________________________________________________________
Credit Card Number
:
5416 1600 7877 7405
__________________________________________________________
Date of Expiry
:
07/16
__________________________________________________________
Type of Card
:
__________________________________________________________
ANZ MASTERCARD
Card Holder’s Address
:
Mangga Dua Dalam Blok H1 No. 22-23
__________________________________________________________
Name of Event/Guest
:
NGADIMAN DATI / NINI (NGADIMAN
__________________________________________________________
Amount
:
$ 860
__________________________________________________________
DATI'S WIFE)
check out
Details of Charges
:
(Date of event/Duration of stay)
4 DAYS - 3 NIGHTS (5th - 8th of June
__________________________________________________________ 2013) For Premier King Room
Contact Details
(Telephone/Fax Number/
E-mail Address)
__________________________________________________________
:
check in
NINI : +628121133138, MARTHA (NGADIMAN SECRETARY): +6281314553713
email : atha.zabeth@gmail.com
__________________________________________________________
CARDHOLDER AUTHORISATION
NINI
I, ___________________________________, Cardholder of the credit card (whose details are set out above) hereby authorise Marina
Bay Sands Pte Ltd (“Marina Bay Sands”) to charge to the said credit card such amounts incurred in respect of my stay at
Marina Bay Sands.
Marina Bay Sands is at liberty, but not bound, to resort, to any other lawful means of obtaining payment and/or securing performance of this undertaking at any time and in any manner whatsoever as Marina Bay Sands thinks fit.
I
Please fill in the requested details below and enclose this form with a clear photocopy of the front and back of the credit card to us via our fax number +65 6688 5400
NINI
Name imprinted on Card
:
__________________________________________________________
Credit Card Number
:
5416 1600 7877 7405
__________________________________________________________
Date of Expiry
:
07/16
__________________________________________________________
Type of Card
:
__________________________________________________________
ANZ MASTERCARD
Card Holder’s Address
:
Mangga Dua Dalam Blok H1 No. 22-23
__________________________________________________________
Name of Event/Guest
:
NGADIMAN DATI / NINI (NGADIMAN
__________________________________________________________
Amount
:
$ 860
__________________________________________________________
DATI'S WIFE)
check out
Details of Charges
:
(Date of event/Duration of stay)
4 DAYS - 3 NIGHTS (5th - 8th of June
__________________________________________________________ 2013) For Premier King Room
Contact Details
(Telephone/Fax Number/
E-mail Address)
__________________________________________________________
:
check in
NINI : +628121133138, MARTHA (NGADIMAN SECRETARY): +6281314553713
email : atha.zabeth@gmail.com
__________________________________________________________
CARDHOLDER AUTHORISATION
NINI
I, ___________________________________, Cardholder of the credit card (whose details are set out above) hereby authorise Marina
Bay Sands Pte Ltd (“Marina Bay Sands”) to charge to the said credit card such amounts incurred in respect of my stay at
Marina Bay Sands.
Marina Bay Sands is at liberty, but not bound, to resort, to any other lawful means of obtaining payment and/or securing performance of this undertaking at any time and in any manner whatsoever as Marina Bay Sands thinks fit.
I