We give authority to TANJUNG SANCTUARY LANGKAWI to debit the

amount of:____________________________________________ being the cost of accommodation provided to:

Guest name:_____________________________________________

Check in date:___________________________________________

Check out date:__________________________________________

Credit Card VISA/AMEX/MASTER/DINERS (delete where not applicable)

Credit Card No:_____________________________________________
Note: AMEX credit card-please state the 4 digit ID(members) number

__________________________________________________________

Issued by:_________________________________________________

Expiry Date:________________________________________________

Cardholder's Name:__________________________________________

Cardholder's Address:________________________________________

Cardholder's Signature:______________________________________

** Note: Please send us both side clear copies of your credit card for our Credit Card center filing.