Reservation Form - Department of Biological Sciences

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100 Orchard Road
Singapore 238840
Main Line +65 6733 8855
Main Fax +65 6732 7886
Reservations Direct Fax +65 6732 0540
Email: singapore@concorde.net
www.concordehotel.com.sg
ROOM RESERVATION REQUEST
Kindly fill up details in RED (*) column and delete where necessary
CONFIRMATION NO.
GROUP BLOCK
Joint 5th Structural Biology & Functional Genomics and 1st Biological Physics International Conference
C/O: National University of Singapore
GUEST NAME *
ARRIVAL DATE *
Flight Number and ETA:
DEPARTURE DATE *
Flight Number and ETD:
ROOM TYPE *
Deluxe - $215++ ($258.94nett) inclusive of 1ABF
Deluxe - $225++ ($270.71nett) inclusive of 2ABF
Club President - $255++ ($300.14) inclusive of 1ABF
Club President - $275++ ($323.68) inclusive of 2ABF
Guests in the Club President will enjoy the following benefits:
*Breakfast in Le Club Lounge, Café Georges or Room Service
*Inclusive of evening cocktails and canapés
*Complimentary use of in-room internet services
(Broadband Internet Access for Deluxe room is chargeable at $28+ per 24 hours block)
TELEPHONE *
FAX *
EMAIL *
CREDIT CARD NO. *
NAME ON CREDIT CARD*
EXPIRY DATE/CREDIT CARD TYPE *
Please provide your credit card details to guarantee your booking. Kindly note that for guaranteed reservations at time of booking, rooms are held
until hotel check-out time the day following arrival and Non-guaranteed reservation will be subject to 6pm release on day of arrival.
REMARKS
RESERVATIONS STAFF
Kindly forward your request to Othman:
DATE
+65-6732-540 (Fax) or tours.chs@concorde.net or Asimah.Chelon@concorde.net
(Please be advised that your reservations will only be deemed as confirmed when you have received this form back from our
Reservations Department with the confirmation number given)
(Non-guaranteed reservation will be subject to 6pm release on day of arrival)
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