Reservation Form - SemiconNano 2015

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.