Room Reservation Request Form
“Latest Advances in Fetal & Neonatal Surgery”
The Chinese University of Hong Kong - Department of Surgery
November 22-24, 2006
Attention : Ms. Iris Lam, Assistant Sales Manager Tel : (852) 2268 7000 Fax : (852) 2739 9315
“The Salisbury” - YMCA of Hong Kong E-mail: email@example.com
41 Salisbury Road, Tsimshatsui, Hong Kong Web site : http://www.ymcahk.org.hk/sales/html/hst001e.htm
The following special discounted room rates are offer to the above seminar delegates only :
Room Types : Size of room is around 250 square feet. Size of Suite is around 530 square feet. (Please box)
Standard Room □ HK$700 for single occupancy □HK$800 for double occupancy
Partial Harbour View Room □ HK$800 for single occupancy □HK$900 for double occupancy
Harbour View Room □ HK$900 for single occupancy □HK$1000 for double occupancy
Family Suite □ HK$1400 for a family of maximum 2 adults and 2 small children
Complimentary amenities : Welcome fruit, use of indoor swimming pools/Jacuzzi, Daily newspaper (South China Morning Post)
Guest Name(s) : __________________________________________________________________
Surname First name (please print)
Telephone No. : ____________________ Fax No. / Email : _____________________
No. of Rooms : ____________________ No. of Persons : _____________________
Arrival Date/ Flight : ____________________ Departure Date/Flight : _____________________
Guaranteed by : □ Visa □ Master □ A.E. □ Diners □ JCB
Cardholder’s name : _____________________ Card number : _________________________
Expiry date : ______________________ Signature : _________________________
Notes : 1. Please reserve your room requirement 45 days prior to the Seminar, otherwise, confirmation of room space and room types
will be subject to availability upon request.
2. Please reserve your room by e-mail, telephone or complete and return this form to our hotel.
3. Above room rates are subject to 10% service charge per night, room tax is not required.
3. One night room charge will be applied for cancellation less than 72 hours prior to arrival date.
4. Check-in time is after 14:00 hours and check-out time is at or before 12:00 noon.
Breakfast requirement (Optional) (Please box)
Coupons will be issued upon guests’ check in and non-refundable. Advanced booking is required.
Buffet breakfast discounted at HK$99 nett per person (per breakfast) □
Venue : 4/F Salisbury Dining room. Serving time : 7am – 10:30 am
Simple American Breakfast discounted at HK$50 nett per person (per breakfast) □
Venue : G/F Mall Café. Serving time : 7am-11:00 am (self service style)
Transportation (Optional) (Please box) : □ Yes □ No
Airport hotelink at HK$130 per person per trip. Please approach A1 or B1 counter at arrival hall of The Hong Kong
International Airport, opposite to Exit A or Exit B for boarding.
ROOM BOOKING CONFIRMATION (FOR HOTEL USE)
(We will contact you through e-mail if e-mail address is provided)
Your room booking request has been confirmed according to the above request. Have a pleasant trip to Hong Kong.
Confirmed By :
Name : ___________________________ Date : __________________________