home company profile Reference contact us 
 
Client Application Form
   What service are you interested?
   Payment




How would you like to pay?
Transfer to Thai Bank Account
Western Union / Money Gram

How much would you like to pay?

Applicant     
Sponsor
 Last Name Last Name
 First Name First Name
 Date of Birth Date of Birth
 Age Age
 Nationality Nationality
 Sex Sex
 Home Phone Home Phone
 Mobile Phone Mobile Phone
 E-Mail Address E-Mail Address
 Best Time to Call Best Time to Call
 Country Country
I agree with terms & conditions
(Click here to view our terms & conditions)
       
   


The information you provide on this form is held strictly confidential and will not be disclosed without your consent.  This form is processed on our secure server.

You and your sponsor will be in contact within 24-48 hours, except Saturday, Sunday and Public Holiday.

A temporarily receipt will be send to you shortly and thank you again for your business, we look forward servicing you.  


130/132 Sindhorn Building Tower 1 Floor 2
Wireless Road, Pathumwan
Bangkok, Thailand 10330

   Office Telephone:02-251-8130-1, 02-263-2527
   Office Fax: 02-251-8134, 02-650-9780

    E-mail : TSLacc@aol.com