Hotel Room Booking Form
 
  I. PERSONAL PARTICULARS OF DELEGATE
 
Fields in BOLD are required fields.
Title
 FIRST Name
 MIDDLE Name
 LAST Name
Organization / Company / Institution
Trade Association (if applicable)
Department
 Designation
Mailing Address
City
State
Zip
Country
Telephone Number
Country Code    Area Code
 ( ) -   		Fax Number
Country Code    Area Code
 ( ) -  
E-mail Address
 
  II. Hotel Room Booking
Prices are per room night including 10% Service Charge, and 7% Goods & Services Tax.
(Should the GST be increased by year 2010, tax rate will be adjusted accordingly at time of check-out).
*Please indicate (1) for most preferred (2) for 2nd Choice & (3) for 3rd Choice and your room requirements.
 
Name of Hotels Room Type Category Room Rate in S$
Per Room/Per Night
Single Twin/Double
1. Furama Riverfront Deluxe 4-star SGD 170++ (Inclusive of 1 breakfast) SGD 170++ (Inclusive of 2 breakfasts)
2. Furama Riverfront Executive Floor 4-star SGD 218++ (Inclusive of 1 breakfast) SGD 218++ (Inclusive of 2 breakfasts)
3. Hotel Miramar Deluxe 3-star SGD 150++ (Inclusive of 1 breakfast) SGD 165++ (Inclusive of 2 breakfasts)
4. River View Hotel Superior 3-star SGD 160++ (Inclusive of 1 breakfast) SGD 160++ (Inclusive of 2 breakfasts)
Choice Hotel Type Nights Cost
1st
Choice		 Single   Twin/Double S$
2nd Choice Single   Twin/Double S$
3rd Choice Single   Twin/Double S$
         
Official Check-in Time: 15:00 hour and Check-out Time : 12:00 noon. Hotels will impose additional cost for early check-in and late check-out.
CHECK-IN  CHECK-OUT 
Date: (dd-mm-yyyy) 
- - 		Time:
 Date:(dd-mm-yyyy) 
- - 		Time:

If sharing room with someone, please provide his/her fullname:

Other Personal Information:
Food Preference Normal Halal Vegetarian
Room Type Preferred Smoking Non-Smoking
 

   III. CREDIT CARD DETAILS (for hotel booking guarantee)
  YOU ARE NOT REGISTERED UNTIL PAYMENT IS RECEIVED.
  
 
 
Please choose a card type:
     
 

Cardholder's Name (as on credit card):
Credit Card Number :     Expiry Date:
Visa/Master - 16 digits, American Express - 15 digits
Security Code :
(Note for AMEX Card: please enter the four-digit security number printed on the right corner on the front of your card)
(Note for VISA / Master Card : Please enter the three digit security code on signature panel)
I hereby authorise payment for one-night deposit for the amount of Singapore Dollars SIN$ and to use my credit card as booking guarantee for the balance number of room nights reserved. Any incidental charges incurred during my stay will also be charged to my card.
 
AMOUNT OF PAYMENT AUTHORISED: S$
 
 
 
Cardholder Signature (as in Credit Card):


___________________________________(Essential)
(Authorizing Charge and Acknowledging Cancellation Policy)

   Date of Authorisation (dd/mm/yyyy):


__________________________________
 

 
  CONDITIONS
  1. Hotel Room Reservation

Three official hotels have been appointed to offer special hotel accommodation rates for 1st APBAM 2010. For online hotel booking and more information on hotel rates, please visit website: www.apbam.org

Alternatively, you can complete the hotel reservation form and send it back with the appropriate payment details to 1st APBAM 2010 : Conference Secretariat & Housing Bureau, c/o Ace: Daytons Direct (International) Pte Ltd, 2 Leng Kee Road #04-01 Thye Hong Centre Singapore 159086. Fax: +65 6475 2077. NO RESERVATION WILL BE MADE FOR INCOMPLETE FORMS.  EMAIL & TELEPHONE REQUESTS WILL NOT BE ACCEPTED.

Kindly note that only individual bookings will be accepted (one booking form per participant) and for special group bookings (10 rooms or more), please contact the 1st APBAM 2010 : Conference Secretariat & Housing Bureau for further details and instructions. All group bookings must be received by 8 February 2010, Monday.

Deadline for individual hotel room reservation : 8 February 2010, Monday

After 8 February 2010, Monday the booking of rooms will be subject to room availability & prevailing rate at time of booking of the individual hotels. The Conference Secretariat & Housing Bureau will assist in making arrangements on hotel reservation on your behalf.

Note: In the event that the requested hotel is fully booked, the 1st APBAM 2010 : Conference Secretariat & Housing Bureau reserves the right to book a hotel in a similar category.

  • To avoid duplicate registrations, do not mail the original Hotel Booking Form if you have faxed the form or booked online.
  • For details of Group Reservations, please contact 1st APBAM 2010 : Conference Secretariat & Housing Bureau by phone  +65 6 3795 262 or email: hotel@apbam.org
  1. Check-in and Check-out Time

Kindly note that the official check-in time is at 1500hrs and the check-out time is at 1200hrs. A 50% charge will be imposed for check-out after 1200 hours and before 1800hrs and a full day rate for check-out after 1800hrs.

For early arrival in the morning, you are advised to book an extra room night. An extra room night would not be reserved should the Conference Secretariat & Housing Bureau not receive any instruction to do so by you.

  1. Deposit & Final Payment

All payments for the hotel accommodation must be made in Singapore Dollars. All official hotels require a credit card number, expiry date and one night’s stay deposit to secure reservation. The remaining payment should be settled directly with the hotel upon check-out.

  1. Hotel Confirmation

You will receive an acknowledgement with a confirmation number from the 1st APBAM 2010 : Conference Secretariat & Housing Bureau via email within five working days from the receipt of the signed hotel booking form. This acknowledgement will indicate the hotel where your reservation has been made as well as all the terms and conditions of that particular hotel. Please therefore state clearly your email address and fax number in the form.

  1. Cancellation / No Show

Cancellation must be made in writing to 1st APBAM 2010 : Conference Secretariat & Housing Bureau by 8 February 2010, Monday. Penalty of one room night will be charged for cancellation before 8 February 2010, Monday. For cancellations received on or after 8 February 2010 or no show, full duration of room nights booked will be charged to your credit card.

  1. Please retain a copy of this form for your record.
If you wish to stay at hotel which is not listed, or have other enquiries on Hotel Booking, please contact :
The Conference Secretariat & Housing Bureau at:
1st Asia Pacific Behavioural and Addiction Medicine Conference

Conference Secretariat & Housing Bureau
c/o Ace:Daytons Direct (International) Pte Ltd
2 Leng Kee Road, #04-01 Thye Hong Centre, Singapore 159086
Tel: (65) 6379 5261 (admin) / 6379 5262 (ops)
Email: admin@apbam.org
  Before submitting, please print a copy of this Hotel Booking Form. Please acknowledge your authorisation of guarantee by filling-in the "Date of Authorisation" and signing your "Cardholder Signature (as in Credit Card)" and fax the completed form(s) to (65) 6475 2077.

Click here to print 		 
  Before submitting this form, it is important to read through the IMPORTANT NOTES.