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)