Pacific International Conference on Applications of Laser and Optics (PICALO) 2008

HOTEL RESERVATION FORM
Pre-Conference Wuhan Tour - Ramada Ganggu Hotel

Please complete this online form, print and then click the "SUBMIT" button on the bottom of this form, and mail this reservation form to GLOBAL TRAVEL BUREAU INC. to the address below :Application Date :

PERSON 1

First Name	Middle Initial	Last Name	Date of Birth	Nationality
Occupation	Passport #	Passport Date of Issue	Passport Expiration Date

PERSON 2

First Name	Middle Initial	Last Name	Date of Birth	Nationality
Occupation	Passport #	Passport Date of Issue	Passport Expiration Date

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Address

City

State

ZIP

Home Phone

( )

Work Phone

( )

E-Mail Adress

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Dates of Stay	Check in date	Check out date
	Arrival Flight no.	Depart Flight no.

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Rates include daily breakfast buffet

Please Reserve Accommodation

Double Room $141.00 per night

Twin-share $141.00 per night

Single Room $126.00 per night

Please reserve round trip transportation airport/hotel/airport.     $73.00

Please print before submitting.
Please print, then FAX or mail the information below line underneath to GTB Orient Holidays.

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NOTE: The information in the fill in fields below this line is not transmitted to GTB.

Reservation Conditions: 1. Completed booking form with payment, must be received by GTB on or before 27 February 2008. A separate confirmation will be issued directly upon receipt of payment. 2. Full payment must reach GTB before 27 February 2008. 3. A cancellation fee equal to 45% of the total cost will be levied for any cancellations received 30 days prior to tour departures. There will be no refunds for any cancellations received within 30 days of tour departure. 4. A handling fee of (USD)$20.00 will be charged for any reservation amendments. Payment Terms: By Certified U.S. Funds drawn upon a U.S. bank (i.e. Cashier's Check) payable to GTB-Global Travel Bureau, Inc. By Credit Card: VISA MasterCard American Express I, , hereby authorized Global Travel Bureau, Inc. to charge my credit card for travel expenses in the amount indicated. The issuer of the card identified on this itemis authorized to pay the amount shown as total upon proper presentation. I agree to pay such total (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. I waive my right to dispute these charges. I have read the terms, conditions and cancellations policy of the tour and agree to same. Card Number: Security code on back of card: Expiration Date Amount Name as it appears on card: Credit Card Billing Address: City: State: ZIP: Daytime Telephone Number: Evening Telephone Number: CARDHOLDER SIGNATURE: X______________________________________________ Tour Number:_________________ Departure Date: ____________ I (we) fully and clearly understand that payment made for the confirmed booking is non-refundable in any circumstances and any cancellation is not acceptable as stated above. Enclose is my PAYMENT OF $ _________ (BY CHECK OR MONEY ORDER) payable to: GLOBAL TRAVEL BUREAU INC.On receipt of the Reservation Form and your PAYMENT we will make the necessary reservations and send you a confirmation and the invoice for the balance due. FAX (or) MAIL TO : GLOBAL TRAVEL BUREAU INC 3703 Pontiac Drive CARLSBAD, CA 92009 TEL 1 888 720 1628 FAX 818-363-4439 ATTN: JOSEPH CHAN Other additional services (Please Specify)