Agent Register
Agent Register
Name
Name
First
Last
Your company / address / Phone
Email
Phone
Agent Member discount 10% from Internet Rate (www.pakasaicountryclub.com)
Agent Member discount 10% from Internet Rate (www.pakasaicountryclub.com)
1 Year / Price 15000 THB
2 Years / Price 22000 THB
3 Years / Price 30000 THB
Register Date
Register Date
/
MM
/
DD
YYYY
Payment
Payment
By Bank Transfer
By Credit card
Type the letters you see in the image below.