Docstoc

20th ACCSQ PPWG-Hotel Reservation Form (09-04-2013 - 15;54)

Document Sample
20th ACCSQ PPWG-Hotel Reservation Form (09-04-2013 - 15;54) Powered By Docstoc
					                          20                                      PPWg
                                                                                                                             NUSA DUA
                                            ACCSQ                                                                            bALI
                       The          Th                                                                                       13-17 MAY
                                            ASEAN CONSULTATIVE COMMITTEE FOR STANDARDS AND QUALITY                                                                         nadfc
                                            PhARMACEUTICAL PRODUCT WORkINg gROUP                                             2013
Sekretariat Gabungan Perusahaan Farmasi Indonesia, Jl Angkasa No 20 A Kemayoran Jakarta 10620
Phone: +62 21 420 3040, Fax : +62 21 420 3047, 420 3048, Email : sekretariatgpfi@yahoo.com                                                  Official website : www.20thaccsq-ppwg.com




        hOTEL RESERVATION FORM
            Full Name                                                                                                  Passport No./
            (Mr / Mrs / Ms /Dr )                                                                                         ID Card No.

            Share With                                                                                                 Passport No./
                                                                                                                         ID Card No.

            Address
            Phone No.                                                                                                         Fax.No
            Email



        FLIghT INFORMATION
                                   departure date                                                                           arrival date
         Flight No.:               Date :                         Time:                              Flight No.:          Date :                  Time:




        ROOM RESERVATION DETAILS
         Check-in Date:                                                                              Check-out Date:




        hOTEL ACCOMODATION
        A great range of accommodation has been secured at special price for participants attending this meeting. As the 20th ACCSQ-
        PPWG Meeting falls in a reasonably busy time for Bali, we strongly recommend participants book their accommodation as early
        as possible. These special hotel rates are applicable for reservation made before 30 April, 2013. Any reservation made after 30
        April 2013 will be subject to room and price availability. The room rate is quoted per room per night, including breakfast for 2
        persons and 21% tax and service charge.


                                                                           Please tick your choice:
                             HOTEL naME                                                        ROOM TYPE                                 PRIcE (IdR /US$)
           Courtyard Marriot Hotel (**** /4 stars)                                    Deluxe Garden room                         Rp    1,400,000        (US$ 143)
                                                                                       Deluxe Pool view room                      Rp.   1,600,000        (US$ 164)
                                                                                       Premium Deluxe room                        Rp.   1,700,000        (US$ 175)
                                                                                       Deluxe Pool Terrace                        Rp.   2,050,000        (US$ 210)

           Novotel Nusa Dua (**** /4 stars)                                      Deluxe room                                     Rp    1,200,000 (US$ 123)
                                                                                  One bedroom Suite                               Rp    1,750,000 (US$ 184)
                                                                                  Two bedroom Suite                               Rp    2,500,000 (US$ 258)

           Melia Bali Nusa Dua (***** /5 stars)                                  Deluxe room                                     Rp    1,450,000 (US$ 148)
                                                                                  Duplex Suite                                    Rp    1,800,000 (US$ 188)
                                                                                  Lagoon Access Suite                             Rp    3,200,000 (US$ 288)

                                                                                       Deluxe room                                Rp    1,650,000        (US$ 168)
           Nusa Dua Beach Hotel (***** /5 stars)                                      Premier room                               Rp    1,850,000        (US$ 188)
                                                                                       Palace Club room                           Rp    2,600,000        (US$ 268)
                                                                                       Palace Club suite                          Rp    3,750,000        (US$ 388)
                       20                                      PPWg
                                                                                                             NUSA DUA
                                         ACCSQ                                                               bALI
                      The          Th                                                                        13-17 MAY
                                         ASEAN CONSULTATIVE COMMITTEE FOR STANDARDS AND QUALITY                                                            nadfc
                                         PhARMACEUTICAL PRODUCT WORkINg gROUP                                2013
Sekretariat Gabungan Perusahaan Farmasi Indonesia, Jl Angkasa No 20 A Kemayoran Jakarta 10620
Phone: +62 21 420 3040, Fax : +62 21 420 3047, 420 3048, Email : sekretariatgpfi@yahoo.com                                  Official website : www.20thaccsq-ppwg.com




        RESERVATION PAYMENT METhOD
        The hotel requires security of payment to guarantee your hotel room. Payment can be made either by credit card (subject to 6%
        administration fee) or through bank transfer (subject to local bank administration fee of USD 30.00 per remittance).
        Bank Name               : BANK MANdIrI, Branch Kuta, Bali
        Swift Code              : BMRIIDJA
        Bank Address            : Jl. Raya Kuta 456 Kuta - Bali
        Beneficiary             : PT. MELALI BALI
        USD account no.         : 145 - 000 531 75 61
        IDR account no.         : 145 - 000 527 72 03

          HOTEL RESERvaTIOn cOnTacT:
          PT MELALI BALI Jl. Dewi Sri, Complex The Lotus No.10 Kuta 80361 – Bali, Indonesia, Ph. +62 (361) 766156, Fax. +62 (361) 763435
          info@melali-bali.com, www.melali-bali.com. Reservation Coordinator : Mrs. Maria Yovieta, Ph. +62852 3421 8484, maria.yovieta@melali-bali.com




        TERMS AND CONDITIONS
        1)	 Every	reservation	will	be	handled	confidentially.
        2)	 Reservation	can	only	be	accepted	with	full	pre-payment	(advance	payment)	to	the	organizer.
        3) In case of cancellation the following terms applied:
             • Cancellation made up to 30 days prior to check in date will be free from cancellation fee
             • Cancellation made between 30 days to 10 days prior to check in date will be charged equivalent to one (1) night
                of the room charge for each room cancelled.
             • Cancellation made between 9 days to 4 days prior to check in date will be charged equivalent to two (2) night of
                the room charge for each room cancelled.
             • Cancellation made less than 4 days prior to check in date and in the case of no show will be charged equivalent
                to 100% of the total night reserved.



          Signature                                                                 Date          dd             mm                  yy

				
DOCUMENT INFO
Shared By:
Stats:
views:1
posted:4/9/2013
language:Japanese
pages:2