Attn.: EVERGREEN LAUREL HOTEL TAICHUNG-Reservation Department Tel No : 886 4 2324 2277 Fax No : 886 4 2324 2233 ACCOMMODATION BOOKING FORM TAICHUNG The Evergreen Laurel Hotel Taichung, is offering special rates to attendees of the S.A.G in Taiwan. Please complete this form, and return one copy via fax by 01, MAR, 2011. (Reservation made after this date would be subject to rooms availability) And fax this form as following: (A) ROOM TYPE & SPECIAL ROOM RATE (NTD) Room Type ROOM RATE Special rate(included TWO breakfast) Superior double NT$ 7,200 NT$ 3,500 Superior twin NT$ 7,200 NT $3,500 Superior double on executive floor NT$ 7,600 NT$3,800 Note :1) The above special rate includes 5% tax & 10% service charge. 2) TWO buffet breakfast included per each room, 3) Free for internet speedway service 4) Complimentary fruit basket on the day of arrival (B) RESERVATION INFORMATION (Please type or print clearly) Guest Name: Institution: Telephone: Fax: Number of room required: (subject to room availability) Superior double (one king bed) superior twin (two single beds) superior double on executive floor Check In date: Check Out date: (C) TRANSPORTATION SERVICE Transport to CKS International Airport, one way charge $3,500 NT per each car. (VOVAL) Arrival Date: Flight No: Departure Date: Flight No: (D) PAYMENT By Credit Card: Visa Master card American Express Card No: Date of expire: Signature: Date: Diners (E) CONFIRMATION The reconfirm form will be faxed back to you within 3 days by hotel reservation center. Resv. No.# Recfm. Stamp:
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