Active Holidays Indochina

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Confirmation/Payment
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Personal Information:
AHI No. (if any):
Phone (*):
Address:
City:
Area Code:
Country:
Gender:
Male
Female
Reference AHI Quotation:
Date of birth:
Year:
Day:
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Payment Details:
(Note: All bank fees are at the Client’s charge)
Payment Method:
Credit Card
Bank Transfer
Card Type:
Bank name: BIDV Binh Thuan Branch - Vietnam
Address: 286A, Tran Hung Dao Street, Phan Thiet City
Binh Thuan Province, Vietnam
Swift code: BIDVVNVX611 | CIF: 3461968
Account number (USD): 61110370010468
Beneficiary: AHI Co., Ltd.
Address: 84, Nguyen Dinh Chieu Street, Phan Thiet City
Binh Thuan Province, Vietnam
(Please mention, in the message, our quotation number for our follow up)
Debit the total amount:
Credit Card Number:
Card Holder's Name:
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Expiry Date:
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(Printed at the back of your credit card)
Note:
- Your booking will be valid only after AHI receives the payment as detailed in the quotation.
- Our web server implements authentication and encryption using the Secure Socket Layer (SSL).