DEPOSIT PAYMENT
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PLEASE MAKE DEPOSIT PAYMENTS
BY (SWIFT) TELEX TRANSFER TO THE
FOLLOWING BANK ACCOUNT:

Siam City Bank
Surat Thani Branch
15-560

A/C. No. 560- 1-00898-8

Account Name : THE SAMUI CLINIC CO. LTD
(checking account)
Swift Code: 65-560-15

Please note that the balance is due before surgery commences

Thank you for using the services of

'SAMUI (cosmetic surgery) CLINIC'

NICKCONNOR4@aol.com