Le Meridien Chiang Mai Booking Form
For Participants 2012 OSCE-THAILAND CONFERENCE
Please complete one form per room and send by fax to Reservation Department before 15 January 2012 
Secure Fax number for credit card at +66 53 253 618 
Name of the guest (s)		
Company / Organization		
Tel/Fax/E-mail		
Arrival date	_________________ Flight No. __________ Arrival time _______________
Departure date	_________________ Flight No. __________ Departure Time ____________
Transportation pick up – Toyota Camry THB 550 net /way		 No		Yes	
		
Please select room type	 King Bed			 Twin Bed
	
   Deluxe room 	
THB 3,500net/night	
	
Smoking room	

	
	
	
Non-Smoking room

             Deluxe Studio 	
             THB 3,900net/night	
        	
               Smoking room	

	
       	
               Non-Smoking room

             Royal club room with club benefit*
 	
THB5,300net/night	
       	
               Smoking room	

	
       	
               Non-Smoking room

             Junior Suite with club benefit*
 	
THB8,300net/night	
      	
               Smoking room	

	
      	
               Non-Smoking room

		
***The rates are inclusive of 02 persons for Full Buffet Breakfast at “Latest Recipe” restaurant.
*Club benefit is VIP lounge (complimentary afternoon tea, snack from 15.00 – 17.00 hrs and Drinks and Hors d’oeuvres, daily from 18.00 – 20.00 hrs)
The reservation is guaranteed with the following credit card:
Type of card		
Cardholder’s name		
Card number		
Any no show or late cancellation that occurs within 72 hours of the expected arrival date will be penalty equivalent to the entire stay’s room charge.	
					I agree
		
        Credit Card Owner’s Signature
MAIL/FAX THIS FROM AS SOON AS POSSIBLE TO LE MERIDIEN HOTEL
PENSIRI TOSAWAT   RESERVATION MANAGER 
LE MERIDIEN, CHIANG MAI
108 CHANG KLAN ROAD, TAMBOL CHANG KLAN, AMPHUR MUANG, CHIANG MAI 50100 THAILAND
T +66 53 253 666   F +66 53 253 618