Chien Tan Overseas Youth Activity Center Reservation Form of APCWE 7-2009 Nov. 8- Nov. 12, 2009 RESERVATION FORM Reservation Information Mr Guest Name : Ms Mrs Contact Method : (Last name) Tel No: +( )-( (First name) )- Fax No: +( )-( ) Email : Elegant Double Room (2 Twin beds): NT$ 1,782 per night Room Types : Sweet Double Room (2 Twin beds) : NT$ 2,250 per night Note: Breakfast is not included Arrival Date : Departure Date : Guarantee Information : VISA Master JCB Credit Card Cardholder’s Name Credit Card No. Expiry Date Cardholder’s Signature Hotel Remarks 1. Reservation in advance is required and subject to availability. 2. For reservations or queries, please directly return the reservation form to Chien Tan Overseas Youth Activity Center Taipei by fax: +886-2- 8853169 or email: cycctyac@ms15.hinet.net before Sep. 10th, 2009 3. For no-show or cancellation on the arrival date, one night deposit will be charged. 4. Please contact with us by e-mail or fax if you have not receive the confirmation. Chien Tan Overseas Youth Activity Center No.16, Chung Shan N.Rd., Sec. 4, Taipei, Taiwan 111, R.O.C. E-mail:cycctyac@ms15.hinet.net;Fax: +886-2-28853169;Phone: +886-2-28852151