HOTEL RESERVATION FORM Booking deadline: 20 July 2016 To: Astrid Carolina, Mrs. Holiday Inn Express Jakarta International Expo [email protected]

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Mr.

Ms.

Mrs.

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: _______________________________________ __________________________ (Surname/Family name) (First name)

Company

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Title

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Address

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City

: __________________ State: __________________ Postal: ___________________

Email

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**Room will be subject to availability for booking received after 9 November 2015** Room Type Special No of Check in Check out Rate Room (s) Date Date Standard IDR. 685,000 nett

Room

Preferences

Queen Or Twin*

Smoking or Non Smoking*

*Please select one that you are preferred Hotel facilities:  Free usage of Fitness room  Free WIFI  Self-service laundry & Ironing facilities  Vending machines with limited 24/7 snack options  Express start breakfast for 2 pax or Grab & go Options

Access : Walking distance to JIEXPO

Terms & Conditions: The special rates are inclusive of 21% tax and service charge Cancelation made within 3 days of arrival will be charged a fee equivalent to one night stay at the hotel

PLEASE PROVIDE THE FOLLOWING CREDIT CARD DETAILS TO GUARANTEE YOUR AVAILABILITY OF HOTEL ROOM BOOKING. IF CREDIT CARD DETAILS ARE NOT AVAILABLE, PLEASE CONTACT THE HOTEL FOR ALTERNATIVE PAYMENT ARRANGEMENTS Credit card details: Visa / Master / Amex Name of Card Holder : ________________________________________________ Credit card Number : ________________________________________________ Expiry date

: ________________________________________________

Signature

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