RESERVATION FORM
International Standards to Stimulate Paperless Trade
(Please fill in and send this form to Ms Fauzlin Ain emailaddress: fauzlin@dagangnet.com
by 5th February 2006)
Name: _______________________________________
Organisation: _______________________________________
Address: _______________________________________
_______________________________________
_______________________________________
Country: _______________________________________
Tel: _________________________ Fax: _____________________________
eMail address: _______________________________________
Arrival Date: _________________________ Departure Date: __________________________
ETA: _________________________ ETD: _________________________
*Please provide flight details for airport transfer.
* 50% surcharge will be applied for transfer between 12.00 midnight to 0600 hrs
Airport Transfer: Airport to Hotel (RM110) Hotel to Airport (RM110)
Room rate per night:
Deluxe Single – RM230.00nett Twin Sharing – RM245.00nett
Remarks: _____________________________________________________________________
_____________________________________________________________________
*Please indicate:- Smoking or Non-Smoking room / King bed or Twin bed
Please confirm your reservation by credit card:
Name cardholder: ________________________________________
Card number : ________________________________________
Expire date : ________________________________________
Numbers on the back (in the signature area) : ___________________________
Signature : __________________________
Date : __________________________
(Only complete forms will be accepted and confirmed)