Koh Phangan Restaurant Payment

Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Payment Amount THAI BAHT

฿ THB
Please note! Your payment will be processed in Thai Baht.
Would you like to add a donation to Chabad of Koh Phangan?
Yes! I would like to bring Jewish togetherness to Koh Phangan.

฿360 THB฿720 THB฿1800 THB

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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