HOTEL RESERVATION FORM FOR

Toward a Science of Consciuosness

11 - 14 June 2009

SCHOOL OF DEsiGN

THE HONG KONG POLYTECHNIC UNIVERSITY

Please return this hotel reservation form to:

RESERVATION MANAGER

70 Mody Road, Tsimshatsui East, Kowloon Hong Kong
Tel: (852) 2731 2882 Fax: (852) 2723 5121
Email:

1.  YOUR DETAILS Please complete in block capitals

Family Name:______Given Name: ______Title: ______
Company: ______
Address: ______City ______
State/Province: ______Zip Code: ______Country: ______
Tel (direct line): ______Fax : ______
Email:______
Course Attend:______

2. YOUR REQUIREMENT Please tick your options

q  Deluxe Room ------HK$ 1,150 per room per night
q  Harbour View Room ------HK$ 1,550 per room per night
q  With American Buffet Breakfast ------HK$ 250 per person per day
& internet access
Room preference : Non-Smoking / Smoking
Arrival Date: ______Departure Date: ______Number of nights: ___
Arrival Flight: ______Departure Flight: ______
Note: Room rates are subject to 10% service charge

3. TO GUARANTEE YOUR ROOM

All reservations must be guaranteed with a major credit card or room will be automatically released at 6pm
Type of card : VISA AMEX MasterCard DINERS JCB
Card Number: ______
Expiry Date: ______Name on Card ______
Signature of cardholder to guarantee room: ______
To cancel a guaranteed reservation, you must contact the hotel directly 72 hours in advance and obtain a cancellation number; otherwise one room/night will be charged.

4. CONFIRMATION To be completed by the hotel (OFFICAL USE ONLY)

v  This section will be completed by the hotel who will then fax or e-mail the whole form back to you.
We are pleased to confirm the above booking
Reservation Number: ______Hotel Stamp (for faxed copy only)
Confirmed By: ______
Date of Confirmation: ______

Thank you for your reservation. We look forward to welcoming you to InterContinental Grand Stanford Hong Kong.