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ATPCO Asia Pacific Product Focus Meeting 5-7 November 2012 Hotel Fax Reservation Form : Fax no > 65 6734 2382 : Email > email@example.com PARTICIPANT INFORMATION (Please print clearly in block letters.) Name : Dr / Mr / Ms Company : Fax : Address : Email: Country : Fin code : Confirmation No : Check-in date Flight No Date received Check-out date Flight No Reserved by Credit Card Details : □ Amex □ Visa □ Master-card Expiry date : Card number : Signature: Accommodation / Single / Per room Per night : O Premier Room: SGD288.00++ inclusive buffet breakfast & broadband O Executive Club: SGD348.00++ with club benefits (breakfast, internet access, evening cocktail & 2 piece laundry) Note : Above room rates are subject to 10% service charge and thereafter 7% Goods Service Tax 1. HOTEL RESERVATION INFORMATION & CONDITIONS a) All reservations must be made on the official Hotel Reservation Forms by 14 October 2012 b) Indicate clearly room preferences on form above for duration between 5-7 November 2012 c) Print full details clearly in block letters to avoid any delay in the processing your reservations. d) Credit card and flight details are required to guarantee your reservation. In the case of “no shows” or cancellations notified in writing less than 10 day prior to arrival, full cancellation charges will be imposed to your card. All participants will be responsible for payment of charges directly with the hotel. 2. Any room request after cut-off period (14 October 2012) subjected to room availability at the time of booking.
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"7th Asia Pacific Medical Education Conference (APMEC)"Please download to view full document