Agoda eCard receipt form

eCard number
card holder details:

hotel name:

Agoda hotel id:

Merchant category code:

hotel address line 1:

hotel address line 2:

telephone number:

fax number:

card holder contact details:

contact name – reservation:

contact email address – reservation:

contact name – finance:

contact email address – finance:

Hereby I confirm the above details are correct and the receipt of Agoda e-card.

Signature: …………………………………………………………

Name & position: …………………………………………………

Date received: ……………………………………………………

Important instruction for credit card safety;

• Keep 16 digits private. Don’t let anyone see it.
• Don’t give Physical card information over the phone.
• If you lose Physical card or suspect fraudulent activity. Please contact us immediately.
• Store your credit card in your wallet or a credit card holder instead of loose in your purse or pocket.
• Keep credit card properly to protect the strip against physical damage and demagnetization.
• Do not use Physical card for personal expenses.

All material herein © 2005 – 2018 Agoda group of companies. All Rights Reserved. 1
AGODA ® is a registered trademark of AGIP LLC, used under license by Agoda Company Pte. Ltd.
Agoda is part of Booking Holdings Inc. (NASDAQ: BKNG)