Reservation Formam Medical Device Regulatory

Reservation Formam Medical Device Regulatory

Training & Planning Committee Meeting

PULLMAN HANOI

40 Cat Linh Street, Dong Da District, Hanoi, Vietnam

Tel: (844) 3733 0688 Fax: (844) 3733 2625

E-mail: ; CC:

Please return your booking as soon as possible as only limited number of rooms is available. Rooms will be allocated on a first-come, first-served basis. Any remaining rooms will be released to the hotel on4th September 2014. After this date, the rate will be subject to hotel availability.

Room reservation request (Please type or print in capital letters)

Mr.Ms. Last name ______First name ______

In case of sharing a double/twin room, please indicate the name of second person:

 Mr. Ms. Last name ______First name ______

Company ______

Street ______City ______

Country ______Postalcode______State ______

Tel. (incl. area code & extension) ______Fax ______

E-MAIL ______

Travel details

Date of check-in* ______Date of check-out* ______Number of nights ______

Approx. arrival time ______Flight: ______Approx. departure time ______Flight: ______

* Please note:Check-in time at the Hotel is 02:00 p.m. The official check-out time is 12:00 p.m. noon on day ofdeparture. Late check-out can be arranged until 08:00 p.m. is subjected to a one-night charge. All late check-out requests are subjected to availability.

Room type & rate (please check appropriate box)

StandardSingle RoomUSD 100.00++ Smoking room Non-smoking room

DeluxeSingle RoomUSD 120.00++ Smoking room Non-smoking room

 Executive Single roomUSD 150.00++ Smoking room Non-smoking room

Above rates are per room per night and inclusive of daily buffet breakfast, internet access but exclusive of service charge 5% & government tax 10%. Rates are valid for the period from 14th September to 19th September 2014 and subject to room availability. For booking outside this period the regular room prices become applicable.

For Double occupancy, please add USD 10.00++/room/night

Payment

Please note that reservation can only be guarantee by the following

VISA Card Master Card American Express

Card Number ______Expiry date : ____ / _____

CVC code: ______The CVC/CVV code is a three (VISA/MASTER Card) or four (American Express) digit security code on your credit card.

Card holder’s name: ______Signature ______

Place / date: ______

In order to confirm a room reservation, the Pullman Hanoi requires your credit card details. Your credit card will not be charged at the time of booking. It is only used as a form guarantee. Reservations not guarantee by a major credit card will be released 72 hours before arrival. Guaranteed reservation cancelled less than 72 hours prior to arrival will be subjected to a one night charge and all a full charge of a maximum of three nights in the event of cancellation or non-arrival on the day.