Hotel Reservation Form
For Participants 2012 OSCE-Thailand Conference (additional programme)

Please fax this form directly to Fax: (+66 53) – 450 120
Or send it by e-mail: duangruetai.c@angkhang.amari.com

Before 15 January 2012

Surname:	  _________________________________________________________

Name:		  _________________________________________________________

Check-in date:	  _____________________ Check-out date: ______________________ 

Phone number:  _____________________ Fax number: 	  _____________________

E-mail address: _________________________________________________________

Accommodations for the participants – Please tick your preferred choice.

Superior with Mountain View
O   Single  	(THB ..2,000.. per night) 	O   Double (king size bed)	(THB ..2,000.. per night)
O   Twin (2 separate beds)	(THB ..2,000.. per night)

Superior with Garden View
O   Single  	(THB ..2,500.. per night) 	O   Double (king size bed)	(THB ..2,500.. per night)
O   Twin (2 separate beds)	(THB ..2,500.. per night)

Extra Bed
O   Extra Bed  				(THB .....700.. per night)

Accompanying person for sharing room /if any/:

Surname:	  ________________________________________________________

Name:		  ________________________________________________________

*Above rates are quoted inclusive of 10% service charge and applicable government tax (currently 7%) and are non-commissionable.  In the event of any change in local legislation, the applicable government tax rate shall be used.

For your convenience, please settle your credit card details below for the payment and return back to the resort via e-mail or fax no. ++66 53 450 120-1

Cardholder ______________________________________________ Type of Card ___________________
Credit Card Number _______________________________________ Expiry Date ____________________
	Two or Three digit number of the back your credit card is ___________________

Cancellation & no show condition: 29-0 day will be charged fully payment. 

Acknowledged and confirmed by ________________________________________