SASIMI 2009 Hotel Reservation Form Pacific Hotel Okinawa

SASIMI 2009 Hotel Reservation Form Pacific Hotel Okinawa 3 -6 -1, Nishi, Naha, Okinawa, Japan. Fax: +81 -98 -868 -8876 (Phone: +81 -98 -868 -5162) 日本語がわかる方は、日本語で記入してください。(Please fill out in English or Japanese. ) Title: [ ] Prof. [ ] Dr. Last name: _________ [ ] Mr. [ ] Ms. First name __________ Affiliation: _________________________ Address: __________________________ City: _____ Postal (ZIP) code: _____ Country ______ Phone: _____________ Fax: Check in: _____________ ( mandatory) Mar. ____ , 2009 Time: ____ (Flight No: _______ ) Check out: Mar. ____ , 2009 Time: ____ (Flight No: _______ ) (Available check-in date: Mar. 8 th, 9 th, or 10 th. Available check-out date: Mar. 9 th, 10 th or 11 th) Room preference (select one): [ ] Single with breakfast 11, 550 Yen / room / night [ ] Single without breakfast 10, 500 Yen / room / night [ ] Twin with breakfast 23, 100 Yen / room / night [ ] Twin without breakfast 21, 000 Yen / room / night (Name of accompanied person: ______________ ) Internet Access: [ ] required if possible, [ ] not required (You have to pay additional 1, 000 Yen / night. ) [ ] Smoking or [ ] Non-Smoking General conditions: - Reservation should be made by fax directly to the hotel. (Phone call will not be accepted. ) - The room will be allocated on a “first come, first served” basis. - Confirmation will be returned by fax from the hotel in a few days. - Bring the confirmation sheet and show it on your check in. - The price includes taxes and service charges. - Payment will be made at the hotel by cash or credit card. (MC/Visa/Amex/JCB) (Don’t fill out below) Confirmation by the hotel: [ ] Sorry, we have no vacancy at present. [ ] Your room is reserved as your request. Internet Access [ ] OK [ ] NG Your Reservation ID: 2009 SASIMI-______ Name of receptionist: __________ Date: _____ , 2009

SASIMI 2009 Hotel Reservation Form (for Cancellation or Rebooking) Pacific Hotel Okinawa 3 -6 -1, Nishi, Naha, Okinawa, Japan Fax: +81 -98 -868 -8876 (Phone: +81 -98 -868 -5162) 日本語がわかる方は、日本語で記入してください。(Please fill out in English or Japanese. ) Your Reservation ID: Title: [ ] Prof. 2009 SASIMI-______ [ ] Dr. Last name: _________ [ ] Mr. [ ] Ms. First name __________ Affiliation: _________________________ Phone: _____________ Fax: _____________ ( mandatory) [ ] I will cancel my reservation. [ ] I request to change my reservation as follows: Check in: Mar. ____ , 2009 Time: ____ (Flight No: _______ ) Check out: Mar. ____ , 2009 Time: ____ (Flight No: _______ ) (Available check-in date: Mar. 8 th, 9 th, or 10 th. Available check-out date: Mar. 9 th, 10 th or 11 th) Room preference (select one): [ ] Single with breakfast 11, 550 Yen / room / night [ ] Single without breakfast 10, 500 Yen / room / night [ ] Twin with breakfast 23, 100 Yen / room / night [ ] Twin without breakfast 21, 000 Yen / room / night (Name of accompanied person: ______________ ) Internet Access: [ ] required if possible, [ ] not required (You have to pay additional 1, 000 Yen / night. ) [ ] Smoking or [ ] Non-Smoking (Don’t fill out below) Confirmation by the hotel: [ ] Sorry, we have no vacancy at present. [ ] Your room is reserved as your request. Internet Access [ ] OK [ ] NG Your Reservation ID: 2009 SASIMI-______ Name of receptionist: __________ Date: _____ , 2009