1. No category

No. 1, Jalan Alamanda 2, Precinct 1, 62000 Putrajaya, Malaysia
03 – 8892 2929 ● 03 – 8892 2828 ● tep@theeverlygroup.com
HOTEL RESERVATION FORM
HOSPITAL SERDANG
DATE : 14-16 August 2015
I would like to make the following reservation/s:
Room Type
Price
Superior King/Twin
with 2 Buffet breakfasts
Deluxe King/Twin
with 2 Buffet breakfasts
Executive King
with 2 Buffet breakfast
Junior Suite King
with 2 Buffet breakfast
Executive Suite King
with 2 Buffet breakfast
No. of Room(s)

Please tick
RM200 nett
RM230 nett
RM290 nett
RM350 nett
RM370 nett
Delegate Name 1)
2)
Company
Mobile phone
Fax
Arrival Date
Departure Date
Confirmation no
(For Hotel purposes only)
Terms and Conditions:
1. The above room rates are applicable for this event only and effective within stipulated event dates.
2. Please guarantee your booking by 01 July 2015 with credit card details. Failing which reservation will be
accepted based on room availability.
3. Notification on cancellation must be given to the hotel not later than ten (10) days before check in date,
otherwise a one (1) night’s room charge will be levied.
In the event of no show on a guaranteed booking, a one (1) night’s room charge will be levied.
Credit Card Type AMEX
Credit Card No.
VISA
MASTERCARD
Expiry Date
Specimen Signature
* for AMEX cardholder please advise your non-embossed C.I.D number ______
* for (VISA & MASTERCARD) please advise your CVV number (last three digits found on the signature strip) ______
Note: The hotel’s official check-in time is 1500 hrs on day of arrival and check-out is 1200 hrs on day of departure.
The hotel will make every effort to accommodate arrival before 1500 hrs. A half day room charge is applicable for
late check-out until 1800 hrs. Rooms occupied beyond 1800 hrs will be charged a full day’s room rate.