APPLICATION FOR HOTEL ACCOMMADATION

For Participants in the 2015 OSCE Asian Conference 
Seoul, Republic of Korea, 1 - 2 June 2015

  Please return this form by 25 May 2015 to:  	Mr. Sung-Jun KIM
	Sales Manager, Lotte Hotel
	Eulji-ro 30, Jung-Gu, Seoul, 100-721 Korea
	Tel: 822-759-7536, Fax: 822-756-8049
	E-mail: sjkimc@lotte.net

Please complete by typing in the appropriate cells; to tick the check boxes, please double click on them and choose the “checked” option
-	
Name	First: 	Sex	Male   	Female   	
	Last: 	Title	Mr.  |	Ms.  |	Dr.  | Prof.  	
Nationality: 	
Tel: 	Passport No.: 	
Fax: 	E-mail: 	
Check in date		Check out date		
	Flight No.:		Flight No.:	
Room type
(rooms in the main building)	Superior Room (single occupancy) 	 	KRW 296,450	USD 287	
	Deluxe Room (single occupancy) 	 	KRW 314,600	USD 303	
	Deluxe Room – Club (single occupancy) 	 	KRW 332,750	USD 322	
	Junior Suite (single occupancy) 	 	KRW 484,000	USD 469	
Single occupancy  	Double occupancy  	Smoking  	Non-smoking  	
Name of Credit Card: Visa     American Express     Master Card     Dinners Club 	
Card Number: 	
Expiry Date: 	Signature:	

 NOTE: 
1.	The rates are including breakfast and taxes. 
2.	For double occupancy there is an additional charge of 30,000KRW for breakfast (per person), 30,000KRW for extra guest (per person), 40,000KRW for Club privileges (per person), and 70,000KRW for extra bed. (VAT and Service charge will be added)
3.	The rates in USD may vary depending on the exchange rate on the day of payment
4.	One night room rate will be charged in case of cancellation made 3 days prior to check in date or No Show.
5.	Reservations after 25 May 2015 will be acceptable only upon space availability.