Reservation Form Concorde

							                                                                                                                              100 Orchard Road
                                                                                                                               Singapore 238840
                                                                                                                      Main Line +65 6733 8855
                                                                                                                       Main Fax +65 6732 7886
                                                                                                         Reservations Direct Fax +65 6732 0540
                                                                                                                  Email:singapore@concorde.net
                                                                                                                    www.concordehotel.com.sg


                                          ROOM RESERVATION REQUEST
Kindly fill up details in RED (*) column and delete where necessary

CONFIRMATION NO.

GROUP BLOCK                               The 9th Global Conference on Environmental Taxation
                                          C/O: National University of Singapore

GUEST NAME *

ARRIVAL DATE *                                                                             Flight Number and ETA:

DEPARTURE DATE *                                                                           Flight Number and ETD:

ROOM TYPE *                                   Deluxe - $215++ ($258.94nett) inclusive of 1ABF
                                              Deluxe - $225++ ($270.71nett) inclusive of 2ABF

REQUESTED BY *

TELEPHONE *

FAX *

EMAIL *

COMPANY *

BILLING INSTRUCTION *                     □ Individual's Personal Account; or

Please provide your credit card details to guarantee your booking. Kindly note that for guaranteed reservations at time of
booking, rooms are held until hotel check-out time the day following arrival and Non-guaranteed reservation
will be subject to 6pm release on day of arrival.

CREDIT CARD NO. *
NAME ON CREDIT CARD*
EXPIRY DATE/CREDIT CARD TYPE *

REMARKS

RESERVATIONS STAFF

DATE

Kindly forward your request to Othman:    +65-6732-540 (Fax)
                                          tours.chs@concorde.net or                  Asimah.Chelon@concorde.net
Contact Number:                           +65-6733-8855 (ext. 8104)

(Please be advised that your reservations will only be deemed as confirmed when you have received this form
back from our Reservations Department with the confirmation number given)
(Non-guaranteed reservation will be subject to 6pm release on day of arrival)