Hotel Reservation Form
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T O: Department of room reservation, Sakura Hotel Maebashi
FAX: +81-27-221-5768 Hotel Reservation Form 2013 International Conferences on AMT-BHI （Please send this form to us by E-mail or fax after you complete it.） Reservation Date: Name Nationality Passport No. TEL FAX Check-in Date (Month/Day/Year) Arrival Time : Check-out Date (Month/Day/Year)
4,500 (JPY) 5,500 (JPY) 5,500 (JPY) 2 Guests/room ☐ Twin ☐ Double room(s) 7,000 (JPY) 7,000 (JPY) Payment method ☐ Cash ☐ Credit Card (Credit Card Company: * e.g.：VISA） * The above discount prices are only applied to the attendees of 2013 International Conferences on Active Media Technology (AMT) and Brain Informatics health. * The reservation deadline is September 28, one month before the conference. There is a case to decline in no vacancies. * This form is not suitable for the applications through travel agents or Internet. * Above prices include the expense (plus tax) of room and breakfast. * Check-in could be made after 3:00 p.m., and please check-out before 11:00 a.m. * Earlier check-in and delayed check-out will lead to other costs. * The written private information will be used only for the room reservation. * Contact: Maebashi Sakura Hotel Front: Mr. Shinada and Mr. Tobita TEL：+81-27-220-1818 E-mail: foc@maebashihotel.com Address: 2-16-1, Hommachi, Maebashi-City, Gunma 371-0023 Japan （Walking to the conference hall Terrsa from Maebashi Sakura Hotel takes 6-7minutes） Home Page: http://www.maebashihotel.com/access/ |