Credit Card Authorisation Form
Step 01 : Please print this form, fill it out completely
Step 02 : Fax it to any of the following  fax numbers or scan and email it to
              the following email ID.
                    Fax: 603 26918839 / 26984396
                    E-Mail: reservations@malaysiaholidays.com.my
Step 03 : Kindly also e-mail or fax a copy of your credit card (front&back)
 
I hereby authorize a charge of __________________
to my  (Visa)  (MasterCard)  (Amex)  (JCB)  card.
 
Payment to be recieved by:  Dhesu Travel & Tours (M) Sdn Bhd (KKKP1439) (171323-K)
 
Cardholder's Name:
(as it appears on card)		  
Card Number:  
Security Code:
(4 -digit number on the right of your AmEx
card OR the last 3-digit number
appearing on the signature panel on the
reverse side of your MasterCard)		  
Expiration Date:  
Name of Issuing Bank:   
Cardholder's Address:   
E-Mail Address:  
Guest Name:  
Malaysia Holidays Booking Ref:  
Invoice Number:  
My contact number (24hrs):  
Other Information:  
Signature:
(I the cardholder hereby authorize this charge to my credit card for the booking detailed above made under the name of the guest indicated above.)