HOTEL BOOKING FORM

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					                                                                                                            Book online at www.iccasingapore2012.org
                                                                                                            or fax this completed form to +65 6475 2077
                                                                                                            Please choose only one option
                                                            HOTEL BOOKING FORM


I. PERSONAL DETAILS DELEGATE                     (Please print clearly and use a separate registration form for each delegate)

   Identification:          □ Dr      □ Mr       □ Mrs            □ Miss      (please tick one)

   |___________________________________| / |__________________________________| / |_____________________________________|
   First Name                                         Middle Name                                           Family Name
   Job Title |_______________________________________________| Department |________________________________________________|

   Company |_________________________________________________________________________________________________________|

   Mailing Address |____________________________________________________________________________________________________|

   City |_______________________| State |__________________| Postal Code |__________________| Country |__________________________|

   Country/Area Code |__________/__________| Phone |_________________________________| Fax |__________________________________|

   E–mail address |_____________________________________________________________________________________________________|

   Accompanying Person(s): If sharing with someone, please give his/her name

   □ Dr □ Mr □ Mrs □ Miss |_____________________________________________________|                                  / |_______________________________|
                                                                  First & Middle Name                                                     Family Name

   Other Personal Information: (Please check your preferences)
   Food Preference                   □    No Preference               □   No Pork, No Lard                  □   Vegetarian            □   No Beef

   Room Type Preference              □    Smoking                     □   Non-Smoking

 * Rates are subject to 10% service charge and prevailing Goods and Services Tax (GST).
                                                             nd                                  rd
 * Please indicate: (1) for most preferred choice, (2) for 2 preferred choice & (3) for 3 preferred choice, and your room requirements.
 * Room rate is inclusive of one breakfast /day for single room or two breakfasts per day for twin/double room.
 All room assignments will be made on a first-come first-served basis.
                                                    Room Rate in SGD                                    Choice
                                                                                                       Preferred        Single with    Twin/Double Total No.
                                Room               (per room/per night)                       Rooms                      breakfast    with breakfast of nights
     Name of Hotel                                                                      Class
                                                                                              Blocked
                                                                                                      in Numeric
                                Type             Single            Twin/Double                           Order
                                                                                                                             (a)           (b)
                                           With breakfast for 1 With breakfast for 2
Official Hotel (Congress Venue)
                                Atrium
Marina Bay Sands                            SGD430.00++            SGD468.00++          5 Star        200
                                Deluxe
Marina Square/Suntec Area (within walking distance from Congress Venue)

Marina Mandarin                 Deluxe      SGD350.00++            SGD385.00++          5 Star        20

Mandarin Oriental               Deluxe      SGD380.00++            SGD415.00++          5 Star        20

The Ritz Carlton Millenia      Bay-view     SGD400.00++            SGD442.00++          6 Star        30

Bras Basah Area (within 20 min walking distance from Congress Venue)

Peninsular.Excelsior           Superior     SGD245.00++            SGD265.00++          4 Star        20

Parkroyal on Beach Road         Deluxe      SGD265.00++            SGD285.00++          4 Star        20

Swissotel The Stamford          Deluxe      SGD350.00++            SGD370.00++          5 Star        20

Fairmont Singapore              Deluxe      SGD370.00++            SGD390.00++          5 Star        20



Check-in            Date: _____________________________ Flight details:                                         Time:                            ________


Check-out           Date: _____________________________ Flight details:                                         Time:
                                                                                                                      Book online at www.iccasingapore2012.org
                                                                                                                      or fax this completed form to +65 6475 2077
                                                                                                                      Please choose only one option
                                                                    HOTEL BOOKING FORM


Name of Delegate: |______________________________| / |______________________________| / |_________________________________|
                         First Name                                        Middle Name                                      Family Name


II. MODE OF PAYMENT                         CHECK CHOICES. YOUR ROOM RESERVATION IS NOT CONFIRMED UNTIL PAYMENT IS RECEIVED.

       □     CREDIT CARD [please select one]                   □ VISA □ MASTERCARD □ AMERICAN EXPRESS
       Card Holder’s Name (as in credit card) : |________________________________________________________________________________|

       Credit Card Number : |____________/_____________/_____________/_____________|                                             Expiry Date : |________/___________|
                                             (15 digits for AMEX, 16 digits for VISA / MASTER)                                                         (mm / yy)

       For AMEX credit card holders only, please fill in the four digits security numbers printed (non-embossed) on the right-hand corner of the card |_____|_____|_____|_____|
       For VISA/MASTERCARD credit card holders only, please fill in the three digits security numbers printed (non-embossed) on the signature panel on the reverse side of the
       card |_____|_____|_____|


       I hereby authorise the hotel to charge one room night as deposit for reservation of room/s and full duration for any cancellation of
       room/s made by me after 2 April 2012, Monday (Please refer to the Terms and Conditions listed below).



       Signature of Cardholder: _____________________________________ (Essential)                                     Date of Authorisation: |____/____/______|
                                         (Authorising Charge and Acknowledging Cancellation Policy)                                                   ( dd / mm / yy )




Terms and Conditions:
 1.    TO ENSURE THAT A ROOM HAS BEEN RESERVED, ALL INFORMATION IN THE BOOKING FORM NEED TO BE FULLY COMPLETED WITH
       SIGNATURE AND FAXED TO THE CONGRESS SECERATRIAT. NO RESERVATION WILL BE MADE FOR INCOMPLETE FORMS. EMAIL &
       TELEPHONE REQUESTS WILL NOT BE ACCEPTED.

 2.    All official hotels would require a credit card number, expiry date and one night’s room deposit (plus 10% service charge and prevailing government
       taxes) to secure reservation. The remaining payment should be settled at check-out and will be charged in Singapore dollars.

 3.    Any cancellation must be notified in writing to ICCA 2012 Congress Secretariat & Housing Bureau at email: admin@iccasingapore2012.org by
       Monday, 2 April 2012. In this case, the Hotel shall be entitled to charge one (1) night’s room charge (plus 10% service charge, and prevailing
       government taxes) to your credit card. For any cancellation received after Monday, 2 April 2012, the Hotel shall be entitled to charge the full duration
       of room nights booked (plus 10% service charge, and prevailing government taxes) to your credit card.

 4.    Kindly note that the official check-in and check-out time as follows:

       a.      Marina Bay Sands: Official check-in time is at 1500hrs and the check-out time is at 1100hrs and a 50% charge will be imposed for check-
               out before 1800hrs and a full day rate for check-out after 1800hrs.
       b.      Other Hotels listed on the reverse page: Official check-in time is at 1500hrs and the check-out time is at 1200 noon
       c.

 5.    For early arrival in the morning before check-in time and late check out after check-out time, you are advised to book an extra room night. An extra
       room night would not be reserved should the Congress Secretariat & Housing Bureau not receive any instruction to do so by you.

 6.    Please send by email or fax the duly completed and signed HOTEL BOOKING FORM to :
                                                     ICCA 2012 Congress Secretariat & Housing Bureau,
                                                     c/o Ace:Daytons Direct (International) Pte Ltd
                                                     2 Leng Kee Road #03-02 Thye Hong Centre Singapore 159086.
                                                     Fax: +65 6475 2077
                                                     Email: admin@iccasingapore2012.org

 7.    Room bookings through airline, corporate programmes and travel agents will not be entertained by the hotels during the congress period.

 8.    Please retain a copy of this form for your record.

 9.    Within five working days from the receipt of the signed hotel booking form, an acknowledgement note with a confirmation number will be issued to you
       via email or fax only. Please state clearly your email address and fax number in the form.

 10.   As a limited number of rooms have been reserved for participants, please make and confirm your booking promptly. The closing date for hotel
       reservations is 15 May 2012, Tuesday. After 15 May 2012, Tuesday, the booking of rooms will be subject to room availability & prevailing rate at time
       of booking of the individual hotels. ICCA 2012 Congress Secretariat & Housing Bureau will assist in making arrangements on hotel reservations on
       your behalf.

Disclaimer:
The information provided above by the ICCA 2012 Congress Secretariat & Housing Bureau are to assist you in your search for accommodation.
The information provided is compiled in good faith, and is intended as a guide only. They are provided as a convenience to you.

				
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