Austrade Singapore Invites You to Participate in the 19Th Study in Australia Annual Education

22rd Asian Conference on Occupational and Environment Health(ACOH) – Room Reservation Form (April 26 – 30, 2017) Fax or E-mail back to 85 SKY TOWER HOTEL E-mail: [email protected] / FAX: 886-7-566-8123 / TEL: 886-7-566-1105 □ New Reservation □ Amendment □ Cancellation Reservation No. E-mail: Last Name Tel. No. First Name Fax. No. Arrival Date □ Cash Payment Departure Date □ Credit Card No. Rooms Room Type Bed Type Special Rate / Per Night Remarks Superior Room King NT$3,000+10% Inc. 1 Breakfast (Blocked View) 37.3㎡ King or Twin NT$3,400+10% Inc.2 Breakfasts Deluxe Room King NT$3,900 +10% Inc.1 Breakfast (City View) 37.3㎡ King or Twin NT$4,300+10% Inc.2 Breakfasts Executive Room King NT$4,500+10% Inc. 1 Breakfast (City View) 37.3㎡ King or Twin NT$4,900+10% Inc.2 Breakfasts Junior Suite 59.05㎡ King or Twin NT$6,900+10% Inc. 1-2 Breakfasts Panorama 65.05㎡ King NT$7,300+10% Inc. 1-2 Breakfasts Terms & condition: 1. Check-in time 3:00pm. Check-out time 12:00 at noon. 2. Additional breakfast is charged for NT$400+10% per person. 3. Harbour View surcharge NT$500+10% per room per night 4. Free wired internet & WIFI. 5. Free access for the following health club facilities (swimming pool and gym). Sauna service is limited once daily. Facilities are located on 40th floor. On Schedule Shuttle Service: ■ Complimentary daily one shuttle service between "85 SKY TOWER HOTEL" and "Kaohsiung Medical University" during the event (April 27-30) : □ Yes (if yes please check the following sections below) ■ Departure from 85 SKY TOWER HOTEL to Kaohsiung Medical University on April (□ 27, □ 28, □ 29, □ 30 ), the departure time subject to the programme arrangement of ACOH. □ No I will guarantee my reservation with: (please be advised that reservation will only be confirmed given the following information) Credit Card Type □Visa □Master Card □American Express □ Diners Booking Date Name of Card Holder Bank Card No. Valid Date MM/YY Signature Remarks

1. After Wednesday, 19 April 2017, any cancellation received will result a one-night cancellation charge. In the event of no-show on the arrival date, the full penalty Confirmation equivalent to the entire duration of the stay booked will also be charged accordingly. 2. The confirmation letter will be sent via fax or email within 2 days.

Reservation Number:886-7-566-8000 Fax:886-7-8123 2017 年亞太區職業衛生大會住宿優惠日期: 2017.04.26 ~ 2017.04.30 請傳真或 E-mail 至君鴻國際酒店 E-mail: [email protected] / 傳真: 886-7-566-8123 / 電話：886-7-566-1105 □ 新訂房 □ 修改 □ 取消訂房代號：電子郵件：姓電話名字傳真抵達日期 □ 現金付款方式離開日期 □ 刷卡間數房型床型優惠特別價/每間每晚備註精緻客房 (12 坪) 一大床 NT$3,000 +10% (贈一客早餐) 景觀部份被擋住一大床或二小床 NT$3,400+10% (贈二客早餐) 一大床 NT$3,900.+10%(贈一客早餐) 豪華市景客房(12 坪) 一大床或二小床 NT$4,300.+10%(贈二客早餐) 一大床 NT$4,500+10% (贈一客早餐) 商務市景客房(12 坪) 一大床或二小床 NT$4,900+10% (贈二客早餐) 旺角套房(19 坪) 一大床或二小床 NT$6,900+10% (贈一~二客早餐) 觀景套房(21 坪) 一大床 NT$7,300+10%(贈一~二客早餐) 注意事項: 1. 入住時間當天下午 3:00，退房時間隔天中午 12:00 。 2. 加購早餐每客為 NT$400+10%；升等海景客房需另加價 NT$500+10%。 3. 提供客房內雙向 20Mb 速度上網及 WIFI 免費。 4. 免費使用 40 樓勁健身中心游泳池、健身房等休閒設施 (三溫暖每日一次)。免費定時定點接駁服務預約：大會期間（04 月 27 日~30 日)提供一台中型巴士為循環區間車定時定點往返高雄醫學大學交通免費服務。 □ 是，自”君鴻國際酒店”→”高醫國際會議中心” ，行車安排時間將根據研討會活動時間調整(如選是請勾選下列選項) □ a.04 月 27 日星期四 □ b 04 月 28 日星期五 □ c. 04 月 29 日星期六 □ d. 04 月 30 日星期日 □否訂房保證金信用卡種類 □ Visa □ Master Card □ American Express □ Diners 訂房日期信用卡/持有人姓名發卡銀行卡號信用卡有效期限月/年持卡人簽名備註 1、客人於入住日(不包含入住日)7 天前取消訂房，將被收取第一晚房費作為取消費用。保證住房如未按照預定日期入住，飯店將視同 No-Show，需支付一晚房費作為取消費用。確認事宜 2、訂房確認書君鴻國際酒店將在 2 天內以傳真或電子郵件發送。

Reservation Number:886-7-566-8000 Fax:886-7-8123