<p> Room Reservation Request Form The First International Conference on Enhancing Teaching and Learning through Assessment June 13 – 15, 2005 The Hong Kong Polytechnic University</p><p>(please complete and fax a copy of this form to the hotel) </p><p>Attention : Ms. Iris Lam, Assistant Sales Manager Fax : (852) 2739 9315 “The Salisbury” - YMCA of Hong Kong E-mail: [email protected] 41 Salisbury Road, Tsimshatsui, Hong Kong Web site : http://www.ymcahk.org.hk/sales/html/hst001e.htm</p><p>Special discounted room rates offer to the above conference delegates only : </p><p>Room Type : □ Standard Room □ Partial Harbour View Room □ Harbour View Room HK$550 HK$650 HK$750</p><p>□ Family Suite □ Harbour View Suite HK$1,000 HK$1,200</p><p>Special privileges : One morning welcome breakfast, welcome drink, welcome fruit, use of indoor swimming pools/ jacuzzi, one visit to fitness centre and daily newspaper. </p><p>Transportation : □ Yes □ No </p><p>* Airport hotelink at HK$120 per person per trip. Please approach A1 or B1 counter, opposite to Exit A or Exit B for boarding. </p><p>Guest Name(s) : ______Surname First name (please print)</p><p>Telephone No. : ______Fax No. / Email : ______</p><p>No. of Rooms : ______No. of Persons : ______</p><p>Arrival Date/ Flight : ______Departure Date/Flight : ______</p><p>Guaranteed by : □ Visa □ Master □ A.E. □ Diners □ JCB</p><p>Cardholder’s name : ______Card number : ______Expiry date : ______Signature : ______</p><p>ROOM BOOKING CONFIRMATION</p><p>(We will contact you through e-mail if e-mail address is provided)</p><p>Your room booking request has been confirmed according to the above request. Have a pleasant trip to Hong Kong.</p><p>Confirmed By :</p><p>Name : ______Date : ______</p><p>Note : 1. Confirmation of room booking will be subject to availability upon request.</p><p>2. Above room rates are subject to 10% service charge, room tax is not required. All rooms are for single or double double occupancy per night. Suites can accommodate 3 adults. </p><p>3. One night room charge will be applied for cancellation less than 24 hours prior to arrival date.</p><p>4. Check-in time is after 12:00 noon and check-out time is at or before 12:00 noon. </p>