Workshop on Disaster Relief Systems, Network Resiliency and Recovery (20th May 2013); AND Meeting of the ITU Focus Group on Disaster Relief System, Network Resilience and Recovery (20-24 May 2013) (Diamond Cliff Resort & Spa) Phuket, Thailand Hotel Reservation Form 1. Accommodation Hotel Diamond Cliff Resort & Spa Room Rate 3,000. THB net (Single/Twin) 2. Arrival Date …………………………………………………………………………………………….. 3. Departure Date …………………………………………………………………………………………. 4. Personal Information: Name of Participant(s) …………………………………………………………………………………… Organization/Company ………………………………………………………………………………… Fax ………………………………………………………………………………… Email ………………………………………………………………………………… Country ………………………………………………………………………………… Arrival /Departure Details: Date of Arrival………………. ….Flight ……………… Time……………………………….............. Date of Departure…………………. Flight …………….. Time………………………………………. Payment : to guarantee your booking, credit card details is required. Name as appears on credit card ………………………………………………………………………... Type of Credit Card……………………………………………………………………………………. Card Number …………………………………………………………………………………………... Valid Until……………………………………………………………………………………………… Signature……………………………………………………………………………………………….. This form is to be returned to the hotel at fax number 66 76 380 056, 66 76 340 507 with a copy to Ms. Chonlada Boonna-In at inter_org@nbtc.go.th , or fax number 66 2 278 1736