INSTRUCTIONS:

 

Save web form on your desktop. Next find the Page Icon

on the upper right hand of the html page and click on Edit as Microsoft Document.

Next fill in the information and fax to the number at the bottom. Please use a fax cover page.

Intercultural Communication Conference June 22-24, 2007    Harbin China

Friendship Palace Hotel, Harbin

ROOM RESERVATION FORM

Print the Following Information

Name	Last	First	Middle Initial
Address used on credit card
Country
Your Email Address
Your Fax Number

Date of Arrival	Month	Day	Year
Flight Information	Airline	Estimated Arrival Time

Date of Departure	Month	Day	Year
Flight Information	Airline	Estimated Departure Time

Check Type of Room			Place X in the box below
VIP Wing	one double bed	488 Yuan
	two single beds	488 Yuan
Guest Wing	two single beds	288 Yuan

Place an X after the type of credit card used	AMEX	VISA	MasterCard
Credit Card Number
Print Your Name as it appears on the Card
Expiration Date	Month	Year

Sign Your Name

Please print out this ROOM RESERVATION FORM and fax it to: Mr. Wu Peixin Email: wupx2006@126.com      Fax: 01186-451-86417596