Meeting of the Asean Coordinating Committee on Services

EWCC - EAST WEST CENTER CONFERENCE SANUR PARADISE PLAZA HOTEL, BALI – INDONESIA, 10 – 18 November 2008 HOTEL RESERVATION FORM

GENERAL INFORMATION (First Name) (Middle) (Last Name) NAME PASSPORT NO. ADDRESS AT WORK

DEPARTMENT/MINISTRY TELEPHONE FACSIMILE E-MAIL

ARRIVAL & DEPARTURE ARRIVAL : FLIGHT NO. : TIME : DEPARTURE : FLIGHT NO. : TIME : NO. OF NIGHTS :

ROOM REQUIRED (please give  at your preference)

SPECIAL ROOM RATE No of Room Type  PRE & POST MEETING DURING MEETING Room Before 7th and after 18 November ‘08 7 – 18 November ‘08 Superior room US$ 57 net / night US$ 52 net / night

Note : - Rooms are subject to availability - Rooms are applicable for single or double occupancy, included buffet breakfast - Rooms are inclusive 21% service and government tax. - Return Transfer ( In and out Hotel transport ) will apply additional charge at US$ 17 net / car ( max 3 persons ) - One Way Transfer ( In OR Out Hotel transport ) will apply additional charge at US$ 10 net / car ( max 3 persons )

DEPOSIT To ensure your reservation, please mention your credit card number and validity date. It will be credited to your room account and will guarantee your room from the date of your arrival until your departure date. Requests without deposits will not be processed. Please charge my credit card ; Visa Diners Master Card Amex BCA ______Card Number : ______Name of Cardholder : ______Expiry Date : ______Signature Cardholder : ______Date : ______

TERM & CONDITION As informed by the organizing committee that the room accommodations will block & confirm by delegates directly to hotel. 1. Room must be blocked at the latest by one ( 1 ) month prior to the arrival date 2. Delegates must to inform his/her validity Credit Card number and expire date as a guarantee

CANCELLATION POLICY - Room cancellation must inform to hotel at the latest two ( 2 ) weeks before the arrival date. - Once the room cancel than the clausal will follows : o 2 weeks to 03 days before the arrival date will apply one night room charge per room o Less than 3 days before arrival date will apply no show fee for the entire period has been blocked - Should a reservation result in a ”no show” status, all the entire contracted room charges will be applied to your account.

a m e m b e r o f : SA N U R PA RA D ISE H OT EL & SU ITES

Hang Tuah 46 Sanur 80228 Bali - Indonesia Phone : 62-361- 281 781 Fax : 62-361- 289 166 PRIME PLAZA Email : [email protected] ; [email protected] www.primeplazahotels.com - Should any of the aforementioned FIT conditions not to be meet, Sanur Paradise Plaza Hotel reserves the right to take any action as deemed appropriate.

Kindly complete and return this registration form along with copy bank transfer of one night deposit payment to :

Desak Trisnawati ( Mrs ) All to be paid in US Dollars ( USD ) paid directly to : SANUR PARADISE PLAZA HOTEL AND SUITES Jl. Hang Tuah No. 46 Company : SANUR PARADISE PLAZA HOTEL AND Sanur 80228 SUITES Bali, INDONESIA Account Name : PT. DWI MITRA NUSANTARA Phone : +62 361 281 781 Bank Account : BANK CENTRAL ASIA Fax : +62 361 289 166 Address : Komplek Pertokoan Sanur Raya, No. 17, E-mail : [email protected] Sanur, BALI - INDONESIA [email protected] Account No. : 670-0037001 (US$) Swift Code : CENAIDJA

a m e m b e r o f : SA N U R PA RA D ISE H OT EL & SU ITES

Hang Tuah 46 Sanur 80228 Bali - Indonesia Phone : 62-361- 281 781 Fax : 62-361- 289 166 PRIME PLAZA Email : [email protected] ; [email protected] www.primeplazahotels.com