Fullon Hotel A8accommodation Reservation Request Form

Chang Gung Forum 2018

The 10th International Workshop in Cleft Lip/ Palate,Nasal Deformity & Ear Deformity

October 1~3, 2018

Fullon Hotel A8Accommodation Reservation Request Form

Please Email or Fax toHotelReservation Department
Tel : +886-3-328-5688 Fax: +886-3-328-8618 Email:

Reservation No.<For Hotel Use Only：

■New Booking
Arrival Date： /  Departure Date：
Guest Name：
Contact Person： / TEL：
E-mail： / FAX：
No. of Room / No. of Person / Room type / Size / Bedding / Special Rate / Remark
Superior Single
Including 1-2 Breakfast / 36 sqm / Double Bed
(180cm x 200cm*1) / NT$ 3,900NET / ※Free Wi-Fi and wired Internet.
※Free parking (one vehicle per room).
※Free access to The Space Lounge(complimentary snacks and drinks), Business Center, Gym and Sauna(Natural Hot Spring).
※In-room movies, free Mini bar, welcome fruits andL'OCCITANEamenities set.
Superior Room
Including 1-2 Breakfast / 40 sqm / Double Bed
(240cm x 200cm*1) / NT$ 4,400NET
Twin Beds
(120cm x 200cm*2)
※Above roomratesareincluding5%governmenttaxand10% servicecharge.
※Check in time: 15:00; Checkouttime:12:00.
※In case of cancellation less than 72 hours prior to arrival or no-show, itis subject to charge of one night per room.
※Creditcardisrequiredforthereservationguarantee;aconfirmationletterwillbesenttoyouoncethebooking has completed.
One-way free shuttle from hotel to Taoyuan Chang Gung Memorial Hospital on Oct 1st to Oct 3rd
□7:00am □7:15 am □7:30 am No. of Passenger
Airport Transfer Request
□Sedan (1-2 Pax) - NT$1000 □Limousine(1-2 Pax) - NT$1600 □Van (4-5 Pax) - NT$1600
No. of Passenger: No. of Car: Flight No. : Arrival Time :
Reservation Guarantee
(Please be advised that your booking will only be confirmed when given the following information)
Credit Card / □Visa□Master□AMEX □ DINERS□JCB / Card Expire date(MM/YY)
Card Number
Card Holder
Signature / Date：
/ /

No. 2,Fuxing 1st Rd., Gueishan Dist., Taoyuan City 33380, Taiwan (R.O.C.) Tel:886-3-328-5688 Fax:886-3-328-8618

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