Hotel Confirmation Notice Form

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					                                                                  BIO-Asia Clinical Stage
                                                                  Partnering Conference
                                                             January 30, 2005 - February 02, 2005

                                                                                                                             Shaded Areas-Required Information

                New Booking                                   Amendment                       Cancellation                                     Repeat Guest

   To           Rooms Reservations Department                                  From    :
                Grand Hyatt Tokyo                                              Company:
E-mail:                                          Fax    :
Fax :           +81-3-4333-8885                                                Tel    :
Tel :           +81-3-4333-8800                                                Email   :

Guest's Information
                                                 Last Name                                                     Given Name
Designation/Title                                                              Company Name
Company Address
Zip/City Code                                                                  Country
Passport Number                                                                Nationality
Place & Date of Issue                                                          Date of Birth

Reservation Requirements
Room Type                         Grand Room One Person JPY 31,000++                          Grand Club Room One Person JPY 41,000++
                                  Grand Room Two Persons JPY 36,000++                         Grand Club Room Two Persons JPY 46,000++
                                                                                              Grand Executive Suite JPY 108,000++
                                                                                                                                     Airport Transfer (Optional)
Arrival                                                                                                                        Yes             JPY46,000-ARRIVAL
                                         Date                  Flight Number                        ETA                              Do not mark unless transfer necessary
Departure                                                                                                                      Yes             JPY46,000-DEPARTURE
                                         Date                  Flight Number                        ETD                              Do not mark unless transfer necessary

Guest's Preference
Preferred Room                        Smoking                   Non Smoking                      No Preference
Preferred Bed                         King                      Twin                             No Preference
Special Dietary

Payment Instructions

All valid credit card is required to complete this reservation.. Notice of cancellation must be received no later than 15:00 the day before
arrival date to avoid a cancellation penalty equivalent to one room night's charge.

Conference participants receive a 50% discount to use the Nagomi Facilities (excluding treatments). Guests will be required to pay JPY
2100 per visit to the Spa facilities and locker rooms. Sports Gym facilities are free of charge.

Credit Card
                                  Credit Card Type/Number                                                      Expiry Date
Card Holder's Name


Hotel Confirmation

                Room Rate                        Confirmation Number                          Confirmed by                                     Date

Airport transfers is available upon request.                                   RESTRICTIONS AND CONDITIONS (+ +)
                                                                               - Reservations are subject to rooms availability
                                                                               - Check-in Time : 15:00, Check-out Time : 12:00
Kindly send in your reservation form by January 14, 2005                       - Rates are subject to 10% service charges, 5.5% sales tax
                                                                               - JPY 200 accomodation tax per person per night also to be charged
                                                                               - KING sized beds will be issued on a first-come, first-serve basis.

Description: Hotel Confirmation Notice Form document sample