Member's full name


Member's membership number:


Contact number in case of urgent matters:


Email address:


Mobile number:


Date & time to use the service or privilege (For Rajadamnern event schedule, please visit at https://www.ticketmelon.com/rws):


Preferred ticket type (2 persons):
   VIP Lounge Seat ticket (1 ticket)
   VIP Counter Seat ticket (1 ticket)
   Club Class Seat ticket (1 ticket)

Number of Tickets for each type of seat. 1 2 3 4 5 6 7 8 9 10

Note to the service provider (if any):