LED JAPAN Strategies in Light Hotel Reservation Form by ta92939

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									                               LED JAPAN Strategies in Light
                                   Hotel Reservation Form

Please fill out this form and fax it to:                                      Deadline: August 14, 2009
LED JAPAN Strategies in Light Desk (CD100720-516)                      Fax:    +81 3 5495 0785


I.      CONTACT INFORMATION

      Name:                                              Title:

      Company:

      Address:

      Country:                                           E-mail:

      Phone:                                             Fax:


II.     HOTEL ACCOMMODATIONS

                                                          Room       Check     Check    Number of
               Family name              Given name
                                                          Type        in        out          stay

   Mr.                                                    Single
 1                                                                                           night(s)
   Ms.                                                     Twin
   Mr.                                                    Single
 2                                                                                           night(s)
   Ms.                                                     Twin
   Mr.                                                    Single
 3                                                                                           night(s)
   Ms.                                                     Twin
   Mr.                                                    Single
 4                                                                                            night(s)
   Ms.                                                     Twin
                  1st choice                              Remarks:

     Hotel Name
                  2nd choice




III. PAYMENT
     Please charge the amount of my hotel deposit to:
           Visa            MasterCard      Diners Club             AMEX                JCB

     Name on Card:

     Card Number:                                        Exp.Month/Year:

      Authorized Signature:

								
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