Howard Johnson Parkland Hotel Dalian

Hotel Reservation Form

E-mail: [email protected] CC: [email protected] CC: [email protected]

Subject Line: Reservation at Howard Johnson Parkland Hotel Dalian I will attend the International Conference of AOMATT2010 in Dalian in April 26-29. My reservation information is as bellow. It will be very appreciated to get your confirmation for my reservation..

Ⅰ. My Information for reservation 1. Airline to Dalian:______2. Arrival time at Dalian ZhouShuiZi International Airport Approx. ______3. Check-in Date: 4. Check-out Date: 5. Title (Mr./Ms./Dr./Prof.) ______Family Name ______Given Name ______Middle Name ______6. Gender ______Date of Birth ______7. Nationality ______8. Passport Number ______9. E-mail ______10. FAX and Telephone Number ______11.. Affiliation Name (Organization/Institution/ Company) __

12. Country: 13 Are there Children with you

2. Room booked: 2.1 Deluxe King Size Room Conference room rite 550RMB (Including Breakfast and Tax) per night The number of room want to book:: 2.2 Deluxe Twin Size Room Conference room rite: 550RMB (Including Two People Breakfast and Tax) per night The number of room want book: 2.3 Deluxe J Suits Conference room rite:800RMB (Including Breakfast and Tax) per night The number of room want book:

Signature: Date: