Please send this form and a copy of the remittance receipt or your by tamir13

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									           RESERVATION FORM FOR HOTEL ACCOMMODATION AND TRANSPORTATION IN CHIANGMAI
Please complete the form below and return it with a copy of the front and back sides of your credit card to
the address given on the information sheets.

PERSONAL INFORMATION
Title:       Prof.            Dr.             Mr.        Ms.
Family Name                                                     First Name

Address

City                                State                             Postcode                         Country

Tel                                         Fax                              Email



(1) HOTEL ACCOMMODATION
            HOTEL                             ROOM TYPE          RATE/ PER ROOM/                  PERIOD OF STAY
                                                                    PER NIGHT
      Crystal Spring House,                 Standard Single     660 THB
         Payap University
                                            Standard Double     880 THB
                                            Triple Room         1,210 THB              Check-In Date:
                                            Deluxe Room         1,320 THB
                                            Suite Room          1,760 THB              Check-Out Date:
      International Friendship              Standard Room       880 THB
         House, Payap University                                                       Total Nights:
                                            Twin Room           1,100 THB
                                                                                       Total Amount: ______________THB
                                            Deluxe Room         1,540 THB

                                            Suite Room          2,420 THB

Sharing Room with (Name):


(2) POST-CONFERENCE TOURS
                    TOUR                                         PRICE       DATE OF TOUR              NO.OF     AMOUNT
                                                                                                       GUEST      (THB)
Tour 1 Safari and Karen Long Neck                              1,350 THB         12/01/2008
Tour 2 Dot Suthep and Home Industries                           750 THB          13/01/2008
                                                                                                        TOTAL




(3) PAYMENT INFORMATION

By remittance

Name of Bank:             Siam Commercial Bank Public Company Limited
Branch:                   Payap University Sub-Branch (Chiang Mai)
Account Holder:           Payap University (2008 Workshop)
Account No.:              802-207864-7
Swift Code:               SICOTHB

By bank draft/cheque

Please make your cheque payable to: Payap University (2008 Workshop)
# Write your name on the back on the cheque/bank draft.

Please send this form and a copy of the remittance receipt or your bank draft/cheque to:
           Jaranya Thepphornbanchakit (Conference 2008)
           Department of English Communication
           Faculty of Humanities
           Payap University
           Chiang Mai, 50000, Thailand
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