SASIMI 2009 Hotel Reservation Form

1. SASIMI 2009 Hotel Reservation Form Pacific Hotel Okinawa 3-6-1, Nishi, Naha, Okinawa, Japan. Fax: +81-98-868-8876 (Phone: +81-98-868-5162)‏ 日本語がわかる方は、日本語で記入してください。(Please fill out in English or Japanese.)‏ Title: [ ] Prof. [ ] Dr. [ ] Mr. [ ] Ms. Last name: _________________ First name ___________________ Affiliation: __________________________________________________ Address: ___________________________________________________ City: __________ Postal (ZIP) code: _________ Country ___________ Phone: _________________________ Fax: _________________________ ( mandatory)‏ Check in: Mar. ____ , 2009 Time: ________ (Flight No: _______ )‏ Check out: Mar. ____ , 2009 Time: ________ (Flight No: _______ )‏ (Available check-in date: Mar. 8th, 9th, or 10th. Available check-out date: Mar. 9th, 10th or 11th)‏ Room preference (select one): [ ] Single with breakfast 11,550 Yen / room / night [ ] Single without breakfast 10,500 Yen / room / night [ ] Twin with breakfast 23,100 Yen / room / night [ ] Twin without breakfast 21,000 Yen / room / night (Name of accompanied person: ____________________________ )‏ Internet Access: [ ] required if possible, [ ] not required (You have to pay additional 1,000 Yen / night.)‏ [ ] Smoking or [ ] Non-Smoking General conditions: - Reservation should be made by fax directly to the hotel. (Phone call will not be accepted.)‏ - The room will be allocated on a “first come, first served” basis. - Confirmation will be returned by fax from the hotel in a few days. - Bring the confirmation sheet and show it on your check in.- The price includes taxes and service charges. - Payment will be made at the hotel by cash or credit card. (MC/Visa/Amex/JCB)‏ (Don’t fill out below)‏ Confirmation by the hotel: [ ] Sorry, we have no vacancy at present. [ ] Your room is reserved as your request. Internet Access [ ] OK [ ] NG Your Reservation ID: 2009SASIMI-______ Name of receptionist: ____________________ Date: _________ , 2009

2. SASIMI 2009 Hotel Reservation Form (for Cancellation or Rebooking)‏ Pacific Hotel Okinawa 3-6-1, Nishi, Naha, Okinawa, Japan Fax: +81-98-868-8876 (Phone: +81-98-868-5162)‏ 日本語がわかる方は、日本語で記入してください。(Please fill out in English or Japanese.)‏ Your Reservation ID: 2009SASIMI-______ Title: [ ] Prof. [ ] Dr. [ ] Mr. [ ] Ms. Last name: _________________ First name ___________________ Affiliation: __________________________________________________ Phone: _________________________ Fax: _________________________ ( mandatory)‏ [ ] I will cancel my reservation. [ ] I request to change my reservation as follows: Check in: Mar. ____ , 2009 Time: ________ (Flight No: _______ )‏ Check out: Mar. ____ , 2009 Time: ________ (Flight No: _______ )‏ (Available check-in date: Mar. 8th, 9th, or 10th. Available check-out date: Mar. 9th, 10th or 11th)‏ Room preference (select one): [ ] Single with breakfast 11,550 Yen / room / night [ ] Single without breakfast 10,500 Yen / room / night [ ] Twin with breakfast 23,100 Yen / room / night [ ] Twin without breakfast 21,000 Yen / room / night (Name of accompanied person: ____________________________ )‏ Internet Access: [ ] required if possible, [ ] not required (You have to pay additional 1,000 Yen / night.)‏ [ ] Smoking or [ ] Non-Smoking (Don’t fill out below)‏ Confirmation by the hotel: [ ] Sorry, we have no vacancy at present. [ ] Your room is reserved as your request. Internet Access [ ] OK [ ] NG Your Reservation ID: 2009SASIMI-______ Name of receptionist: ____________________ Date: _________ , 2009