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Agents
of Change: Workshop on Self-help Organizations of Persons with Disabilities
(SHOs), Related Family and Parents Associations and Women with Disabilities
towards Biwako Plus five |
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Hotel Reservation FormPlease printout, and type or print |
| To: The Manager Hotel De' Moc (formerly "Thai Hotel") 78 Prajathiphathai Road, Pranakorn, Bangkok 10200, Thailand Tel. (66-2)629-2100 - 5, Fax. (66-2)280-1299 |
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| From:
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| Please make the following reservation for the guest details below: | |
| First name: | |
| Last Name: | |
| ___ Male ___ Female | |
| Address: |
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| Tel: | |
| Fax: | |
| Email: | |
| ____ Single occupancy | Thai Baht: 950.-/net/room/night plus ABF |
| ____ Accessible room | Thai Baht: 950.-/net/room/night plus ABF |
| ____ Double occupancy | Thai Baht: 1,250.-/net/room/night plus ABF |
| Check-in date: | |
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Check-out date: |
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| Terms of payment:
____ Credit Card number: |
Expiry date: ____/____ |
| ____ Cash | |
| Please note
that cancellation (five days before check-in date of confirmed
reservation, will be subject to a one night charge. UNESCAP will not be
responsible for any expense incurred.
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Date Signature |
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