• PAYMENT COLLECTION #11051-20

To mohdkadir@hotmail.com
From: BVC Reservation (bvcreservation@berjaya.com.my)
Sent: Tuesday, 5 Oct, 2010 12: 45 PM
To: mohdkadir@hotmail.com
Email : mohdkadir@hotmail.com Date : 05 October 2010
From : Aisha – Member Services Dept Cc : Credit Control

PAYMENT COLLECTION FOR CONFIRMED RESERVATION

CREDIT CARD AUTHORIZATION FORM

1. Membership Name : Dr Mohamad bin Ab Kadir

2. Membership No. : 805 – 11051 – 20
3. NRIC/ Pasport :
4. Telephone No. :
5. Fax No. :
6. Credit Card Holder’s :
Name
7. Credit Card No. :
8. Expiry Date :

Please be informed that your reservation(s) is confirmed as follows:

(NOT APPLICABLE FOR AMEX AND DINERS)

1. HOTEL : Berjaya Singapore Hotel

2. Guest Name : Halimah bt Abd Kadir
3. Check In : 12 November 2010
4. Check Out : 13 November 2010
5. No Of Night(s) : 01
6. No. Of Room(s) : 02 – Deluxe Room
7. No of Deduction : 02 Night(s) Entitlement
 8. Surcharge : RM 130.00 x 02 Rooms x 01 Night
= RM 260.00
(Please be informed that the hotel only able to offer Deluxe
Room instead of Studio Room, where there will be an
additional topup of SGD50++ per room per night (pay to
hotel directly) on top of RM 130.00 payable to BVC. Kindly
revert acceptance by the date line below).

Mode of Payment

A) Credit Card (NOT APPLICABLE FOR AMEX AND DINERS)

Please fill in the credit card details and the expiry date for the above payment not later
than 29/10/2010 failing which your booking will be released automatically.

B) Cash Transfer

Payment by cash transfer, please bank in to our Maybank acct: 0 14310 1 0391 1. Kindly fax
the bank-in transaction slip for record purpose.

C) Notice of Cancellation and / or Amendments

Cancellation and amendment of this booking must reach BVC not later than 29/10/2010, as it is
between 31 – 180 days booking period, after which member’s entitlement will still be subjected
to deduction. (Kindly refer to our new reservation guideline of cancellation and amendment
policy).

Cardmember’s Signature:

NOTE: Kindly refax the duly completed form to fax: 03-2141 9288 / 2148 6879 or email us at
bvcreservation@berjaya.com.my and for further assistance please contact tel: 03-2116 9999