Individual Hotel

Reservation Request Form

IOF World Congress on Osteoporosis Bangkok,
Thailand, December 3 7, 2008
ATOP is the Exclusive Housing Bureau for the 2008 IOF World
Congress on Osteoporosis. To request accommodation at the
congress please return this completed form, accompanied by
appropriate payment to:
ATOP
Ploenchit Center, 7-12, 7th Floor,
2 Sukhumvit, Klongtoey,
Bangkok 10110
Thailand
Tel
: +66 2 656 8001
Fax
: +66 2 656 8002
Email : atop@samart.co.th

A confirmation of your hotel and reservation will be

sent to you once the reservation request form and
deposit payment have been received. For further
information and updates, please visit
http://www.atop-organizer.com/
Note: If requesting more than 10 rooms, contact ATOP for
Group Block Reservation at atop@samart.co.th

Personal Information
Title: Ms.
Name:
Company/Organization:
Telephone:

Deposit required
A deposit of THB 15,000 is required per individual booking
as guarantee for the reservation. Reservations not
accompanied by a deposit will not be processed.
If paying by wire transfer, please add THB 600 for transfer
fee.
Payment Method
Wire Transfer
(Note: Please submit a copy of the wire transfer document along
with this reservation form.)

Bank details:
Account Name : Atop Tours & Trading Co., Ltd.
Bank
: Siam Commercial Bank,
Ploenchit Branch
Account No.
: 216-204596-4 (Saving Account)
Swift Code
: SICOTHBK 216-204596-4
Credit Card
The required deposit will be charged to this credit card.

Type of Card:
VISA
Mastercard
AMEX
Cardholder Name:
Passport Number:
Date of Birth:
Credit card Number :
Last 3 digits number (for VISA/Mastercard):
At the back of the card (Visa/Mastercard)

4 digits security number (for AMEX):

In the middle of the front of the card (AMEX)

Issuing Bank:
Expiry Date:

(Please include country and area codes)

Mobile Phone:
Fax:
Email:
Mailing Address:
City:
Prov / State:
Country:
Postal/Zip Code:
Sharing with:

Signature:
Terms & Condition
All credit card charges will be processed in Thailand Baht the
equivalent exchange rate will be processed by your bank and will
appear on your credit card statement.

(Childrens names not required)

Room Requirements
Check in: Check out:
(dd-mmm-yy)

(dd-mmm-yy)

Hotel and Room Type Preference:

1st Hotel Option:
2nd Hotel Option:
1st Room Type
: Superior
2nd Room Type
: Superior
Occupancy (please choose one only):
Single

Double

Triple

Twin/2 Beds

Special requirements:
Airport Transfer by Hotel: No
Other (please specify):

Terms of Payment: A guarantee deposit of Baht 15,000 per

individual booking is required to guarantee the reservation. The
deposit payment must be received in order for the Individual Hotel
Reservation Request Form to be processed. No rooms will be held or
confirmed until this payment is received.
Cancellation/Reduction: reservations may be changed (subject to
availability) and/or cancelled without penalty up to Sep 30, 2008.
After this date, cancellations will be subject to a Baht 15,000. No
shows will forfeit the Baht 15,000 deposit.
Important Notes:
A deposit of Baht 15,000 is required per individual booking as
guarantee for the reservation. Reservations not accompanied by a
deposit will not be processed;
Rates are quoted in Thailand Baht, per room, per night, and
include breakfast;

Payment by credit card is subject to a 3% service charge

All rates are subject to taxes in place at the time of the conference
(currently 10% Service Charge and 7% VAT);
Guests are responsible for final bill minus deposit upon check-out
(room nights, taxes and all incidentals);
Check in: 14:00 and Checkout: 12:00;
Up to the point of guest check-in to the hotel, all reservations,
changes, additions, and cancellation must be made in writing to
ATOP (see above).

IOF Wor ld Congress on Osteoporosis, Bangkok, Thailand, December 3 7, 2008

Page 1 of 1