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Workshop on
Community-Based Rehabilitation (CBR) and Poverty Alleviation of Persons with
Disabilities |
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Hotel Reservation FormPlease printout, and type or print |
| Please make the following reservation for the guest details below: | |
| First name: | ____Mr. ____Mrs. ____Ms. |
| Last Name: | |
| Address: |
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| Thai
Hotel 78 Prajathiphathai Road, Pranakorn, Bangkok 10200 Tel. (66-2)629-2100 - 5, Fax. (66-2)280-1299 http://www.thai-hotel.com |
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| ____ Single occupancy | Thai Baht: 950./net/room/night plus ABF |
| ____ Accessible room | Thai Baht: 950./net/room/night plus ABF |
| ____ Double occupancy | Thai Baht: 1,200.-1,400./net/room/night plus ABF |
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Date of arrival: |
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Date of departure: |
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No. of nights |
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| Terms of payment:
____ Credit Card number: |
Expiry date: ____/____ |
| ____ Cash | |
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Date Signature |
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