Date : __________________________ To : Reservation Department The Federal Hotel Kuala Lumpur Subject : ROOM RESERVATION: SIBR – UNIKL CONFERENCE ON INTERDISCIPLINARY BUSINESS & ECONOMICS RESEARCH 16-17 FEBRUARY 2015, KUALA LUMPUR, MALAYSIA Fax : 603 - 2148 2877 email : [email protected] To make your booking and confirm your accommodation, please complete and fax or e-mail this form to The Federal Hotel Kuala Lumpur DIRECTLY. Special rates are valid from 14 to 18 February 2015. Name (as per Passport) : ___________________________________________________ Total No of Person(s) in a room : ___________________________________________________ Check In Date : ___________________________________________________ Check Out Date : ___________________________________________________ Room Category Superior single Room with breakfast for 1 person + WIFI 1 user Rate RM240.00++ (RM278.40nett) per room per night Superior twin sharing or double Room with breakfast for 2 persons + WIFI 1 user RM260.00++ (RM301.60nett) per room per night No. of Room(s) x no. of night(s) - Rates are only for the above mentioned period, not applicable during the eve and public holidays unless other wise stated. Surcharge of RM50.00++ per room per night will be imposed for public holiday eve and public holiday - Standard check in time is 1400hours, standard check out time is 1200hrs (local time) - Request for early check in and late check out is subject to availability - Late check out between 1230hrs – 1900hrs will be subjected to 50% surcharge - Late check out after 1900hrs will be subject to full night charge Mode of Payment* (Please tick the appropriate box) : I would like to pay RM ____________________ by Visa Card Master Card Amex Others (please specify) ___________________________________ Card No : ______________________________________________________________ (Please attach copy of both sides of the credit card) CW/ID/Security Code (last 3 digits for Visa/MC or last 4 digits for Amex) : _____________________________ Expiry Date of the Card : _______________________________________________________________ Embossed Name on Card : ______________________________________________________________ Mailing Address : ______________________________________________________________ Tel No : (Office) _____________________ (Mobile) __________________________ Fax No / E-mail : _____________________________________________________________ ----------------------------------Signature of Cardholder FEDERAL HOTELS SDN BHD (Company No 8182-T) 35, Jalan Bukit Bintang, 55100 Kuala Lumpur, Malaysia. Tel: 603-2148 9166 Fax: 603-2148 2877 Free Phone: 1800-99-3535 (Room Reservation only – within Malaysia) Email: [email protected] www.fhihotels.com