Name: *
Company Name: *
Email: *
Phone Number: *
Member Status: Member Guest
Wine Choice: Yes No
Starter: Salad Lobster
Main course:
ADD Additional Participant YES
Comments / Questions / Meal Choice

Dinner Fee & Payment (per person)

Dinner for Member: Baht 800
Dinner for Guest: Baht 1000
Wine: Baht 500 per person

Accept cash upon registration only



Map to Le Charcoa Hotel

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Please note it is the club policy to invoice for no shows.
Cancellations must be received the day before by contact 052-005002 (Penny Sookasem)
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