The Fifth Asia Bioinorganic Chemistry Conference (AsBIC-5) - DOC by Og5Gy3Jp

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									                                         2011 ICICDT

                      AMBASSADOR HOTEL RESERVATION FORM


       The special rate is effective from 1st May. 2011 to 5th May. 2011

    ★Residence Information                                 Reservation Code:E0008109
       □ Booking                            □ Update                     □ Cancel

     Mr. Ms.
                         Name
                      (Block Letters)
                                            (First Name)       (Middle Initial)          (Last Name)
  Phone                             Fax                         E-mail
   Check-in Date        Date     Month     Year        Check-out Date             Date   Month   Year

   ★Special Room Rate
 Rooms       Room Type                      Bed Size         Room Rate/Per Night Free Breakfast
                                                               NT$2,000+10%
             Standard Single             200cmx140cm                                   1
                                                                  (≒US$76)
                                                               NT$2,700+10%
            Executive Double             200cmx165cm                                             1
                                                                 (≒US$103)
                                                               NT$3,000+10%
              Standard Twin              200cmx120cmx2                                           2
                                                                 (≒US$114)
                                        200cmx120cmx2          NT$3,900+10%
             Standard Triple                                                                     3
                                        + 190cmx90cmx1           (≒US$148)
                                                               NT$4,300+10%
          Standard Family Twin           200cmx140cmx2                                           4
                                                                 (≒US$163)

 Airport or HRS Transportation Service:□No □ Yes(please reserve one day before)
  Price:□NT$400/per person or □NT$800/one way(7-Seat Bus).
  Flight or train No.:                , Arrival(or Departure)Time:
 Extra breakfast @350+10% (Normal tariff rate $400+10%)
 Free internet access service.
All rates are based on new Taiwan dollar, and the US dollar exchange rate may vary.
Check In Time 15:00 p.m. & Check Out Time 12:00 Noon.
 Extra charge NT$300+10% for harbor view of room.(exclusive standard single)
    ★ Reservation Deposit
Card Holder’s Name                                Credit Card Info.        VISA Master JCB
   Card Number                                    Expiration Date
Authorization Signature

               202 MIN SHENG 2ND RD., KAOHSIUNG, TAIWAN, R.O.C.
                Tel : (886)7-2115211ext. 2215~2218 / Fax : (886)7-201-0348
                                 resv@mskh.ambhotel.com.tw
                             http://www.ambassadorhotel.com.tw

								
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