Hotel Room Booking Form

HOTEL ROOM BOOKING FORM

Purdue University

13th Annual Conference on Global Economic Analysis

(Please complete this form and fax or e-mail directly to hotel reservation)

Date : 8 – 12 June 2010

Venue : PARKROYAL Penang

Batu Ferringi Beach, 11100 Penang,

Malaysia

Tel : (60 4) 886 2288

Fax : (60 4) 881 2401

E-mail :

Contact : Leow Lee Fong, Jackie Dass, Nurul Huda & Norita Ahmad

Guest(s) Particulars

Title: / Mr. Mrs. Miss
Family Name: / First Name:
Mobile No.: / Fax No.:
Email Address:
Company Name:
Address:

Accommodation Arrangement

Hillview room

RM320.00nett per room per night (inclusive of maximum 2 breakfasts per room)

Deluxe Coastal View room

RM350.00nett per room per night (inclusive of maximum 2 breakfasts per room)

Grand Deluxe Seaview with Balcony room

RM400.00nett per room per night (inclusive of maximum 2 breakfasts per room)

Single Basis Twin Sharing Basis

Room Preference (request basis * not confirmed):

01 King Bed 02 Single Beds

Other request:

Note:

·  Please note that room and room category subject to availability upon confirmation.

·  Please note that all rooms at PARKROYAL Penang are non-smoking.

·  Please note that cut-off date by 21 May 2010.
Page 02

Arrival & Departure Details:

Arrival Date (dd/mm/yy): / Flight No: / Time:
Departure Date (dd/mm/yy): / Flight No: / Time:

Airport Transfer :

Yes No One Way Two Ways

Car @RM150.00nett per car per way Van @RM200.00nett per van per way

Note : 50% surcharge for transfer from 11:00pm – 7:00am.

Kindly guarantee the above booking by providing us the credit card details. In the event of no show or last minute cancellation (07 days before arrival), one night room charge will be levied.

Credit Card Type: Visa Master Card Amex Diners

Card No.:
Card Expiry Date:
Card Holder’s Name:

Security Number

If using American Express or Diners Card:

Signature : …………………………………………….

TERMS & CONDITIONS

§  Please note that the rate quoted above is inclusive of 10% service charge and 5% government tax and non-commissionable.

§  If you wish to have late check in, please advise us at the point of reservation. Early check-in and late check-out subject to availability.

§  Please note that the rates quoted apply for pre and post stays (3 days before and after).

§  Extra bed @RM120.00nett per bed per night (inclusive of 1 breakfast)

§  Check in time: from 3:00pm / Check out time: 12.00noon.

I / We hereby accept the above conditions

Signature

Confirmation Number from Hotel

PARKROYAL Penang

Confirmed By: