7th Asia Pacific Medical Education Conference (APMEC) by P97o75wv


									 ATPCO Asia Pacific Product Focus Meeting
 5-7 November 2012
Hotel Fax Reservation Form : Fax no > 65 6734 2382 : Email > samuel.tan@ihg.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

    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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