HOTEL RESERVATION FORM FOR

international conference on

work integrated learning

3 – 5 february 2010

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

Deluxe Room - Room only _____ HK$ 1,000 per room per night
Harbour View Room - Room only _____ HK$ 1,300 per room per night
Business Package Supplement - _____ HK$ 250 per person per day
Daily American buffet breakfast for 1 person and internet access
Additional American Buffet Breakfast (double occupancy) _____ HK$ 150 per person per day
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 and __% prevailing government tax

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: ______
The quoted room rates will be honored for reservations made and guaranteed on or before 03 Jan, 2010.
Any reservations made beyond the captioned date will subject to room availability.
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.