22, Chaiyapoom Rd., A.Muang Chiang Mai 50300, Thailand Tel. +66 53 251 531 / Fax. +66 53 251 465 http://www.chiangmai.amorahotels.com E-mail: [email protected]

Reservation form for Asia Access to Justice Week Participants

First Name (Mr./Mrs./Ms.) .............................................. Last Name ........................................... Address............................................................................................................................................. Telephone Number ....................................................................... Fax ......................................... *Room type  Deluxe (Single bed/Double bed) (Single) 1,500 baht / (Double) 1,500 baht / night (breakfast included)  Premier Deluxe (Single bed/Double bed) (Single) 1,700 baht / (Double) 1,700 baht / night (breakfast included) 

Guest (Mr./Mrs./Ms.) .............................................................................................................................

Check in date ........................... /

Check out date ................................

Note This rate is only offered for your stay between 14-20 January 2018. The rate for your stay before 14 January 2018 and after 20 January 2018 depends on hotel policy. Please check the rates on www.amorahotels.com/hotels/amora-hotel-chiang-mai Please make a reservation before 25 December 2017. Please send the completed form to Pinthra Ketkham (Jip), Sales Manager at [email protected] *Further information or inquiries, please contact --- Pinthra Ketkham (Jip), Sales Manager Mobile : 08 6 – 192 2217. Tel. 053–251531 to 8055 Fax. 053–251465 ---