Lakeshore Hotel Headquarter SemiconNano 2015 Hotel Reservation Form Validity: September 6th - September 11th http://www.lakeshore.com.tw/en/index.htm No. 773, Ming-Hu Rd., Hsinchu City, Taiwan Tel: +886-3-5209242 Fax: +886-3-5209244 e-mail: [email protected] Attn.: Reservation Dept. OL3006 *The hotel has agreed to offer the special rate to guests (SemiconNano 2015) (Including 10% of service charge and free breakfast.) □Mr. □Ms. Guest Name Telephone No. Fax No. E-Mail Room Type (Bed Size) Room Rate 1 Person Room Rate 2 Person Executive Room (200cm*160cm) Executive Deluxe (200cm*180cm) Chalucet Room (200cm*160cm) □NTD$2,800 □NTD$3,300 □NTD$3,300 □NTD$3,600 □NTD$3,600 □NTD$3,600 *If room type is full booked we would provide upgrade service* Number of room & Nights Requested Room* Check-in Date (Year) Nights (Month) Total NTD: Check-out Date (Date) (Year) (Month) (Date) Remark Airport Pick-up Order Form Transportation from Taiwan Taoyuan International Airport Lakeshore hotel: *Mercedes Benz for 1~2 People is NT$1,785 / Van for 3~5 People is NT$2,100 Transportation from Taipei SongShan Airport Lakeshore hotel: *Mercedes Benz for 1~2 People is NT$2,835 / Van for 3~5 People is NT$2,940 Airport Pick-up Service Airport →Hotel Hotel→ Airport □No □Yes: □Benz □Van Arrival Date / Time Arrival Flight Departure Date / Time Departure Flight Credit Card Type □ VISA □MASTER □AE □No □Yes: □Benz □Van □ Diners Credit Card No. Expiration Date Cardholder’s Name Cardholder’s Signature □JCB Fax or email the filled and signed reservation form to Lakeshore Hotel Hsin-chu before 31th Aug. 2015. Room availability will not be confirmed until you are notified by the hotel.
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