reservation form

Attn.: EVERGREEN LAUREL HOTEL TAICHUNG-Reservation Department
Tel No : 886 4 2324 2277
Fax No : 886 4 2324 2233
E-mail : [email protected]
June 2011: OGC TC/PC Meetings
12~19 Jun. 2011, Taichung, Taiwan Booking Form
The Evergreen Laurel Hotel Taichung, is offering special rates to attendees of the June 2011: OGC TC/PC
Meetings in Taichung. Please complete this form, and return one copy via fax or e-mail by 12, May 2011.
(Reservation made would be subject to room’s availability)
(A) ROOM TYPE & SPECIAL ROOM RATE (NTD)
Room Type
Superior Room
One bed
Standard Twin Room
Two beds
Deluxe Room
One bed
Room
Square
Bed Size(cm)
Rack
NTD
9-10
180*200
$7,000+10%
9
110x200*2
$7,000+10%
12
180*200
$7,600+10%
Special Rate(Standard Floor)
Single Occupied
Double occupied
$ 3,100
$ 3,400
$ 3,400
$ 3,500
$ 3,800
1) Daily breakfast, 5% government tax & 10% service charge of the original rate are included.
2) Free for internet speedway service.
3) Complimentary fruit basket on the day of arrival.
4) Enjoy unlimited use of the health club, sauna, and swimming pool and exercise facilities.
(B) RESERVATION INFORMATION (RV101018917/Please type or print clearly)
Guest Name:
Check In date:
Check out date:
Institution:
Telephone:
Fax:
Number of room required:
 Superior room(single or double)
 Standard Twin room(two beds)  Deluxe room (single or double)
(C) TRANSPORTATION SERVICE □Yes, Please fulfil following information. □ No
□Transport to CKS International Airport, one way charge NT$3,500 per each car. (VOVAL)
□Transport to CKS International Airport, one way charge NT$4,000 per each car. (BENZ)
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:
(E) CONFIRMATION
The reconfirm form will be faxed back to you by hotel reservations.
Confirmation No.
Confirmed by:
 Diners