Name of Buyer
Address
Telephone number Fax number
   
Details of product Purchased
 
I authorize (Name of Merchant) to charge my VISA  MASTER JCB

SCB CARD

Card Number - - -
The last three digit number appearing on the signature panel
Cardholder’s Name Expiry Date
   
Amount Baht US $
   
Cardholder’s Signature Date
You are required to provide the below information
Return / Refund Policy : No Refund Free Alterations
Delivery Policy : Free delivery
 
 
JACKIE'S 137 CORNER SOI 9 SUKHUMVIT ROAD BANGKOK 10110, BTS.NANA STATION.
TEL : (662) 6510206-7 FAX : (662) 6510207 E-mail : aman@jackiestailor.com , nick@jackiestailor.com , jack@jackiestailor.com