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18–19 February 2010 The Imperial, New Delhi, India - page 13 / 16

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ACCOMMODATION FORM INTERNATIONAL BAR ASSOCIATION CONFERENCE

Personal details (Please print clearly in block capitals)

T i t l e ( D , M , M r s , P r o f . e t c ) _ _ _ _ _ _ _ _ _ _ _ _ _

Family name

_____________________

First Name

____________

C o m p a n y _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address

______________________________________________________________________________________

T e l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

F a x _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

E m a i l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

P a s s p o r t N u m b e r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date of Issue

_____________

Date of Expiry____________

P l a c e o f i s s u e o f p a s s p o r t _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Please print clearly as your reservation will be confirmed by e-mail. If you do not receive confirmation of your reservation, please contact the hotel by telephone.)

Accommodation requirements

Arrival date _________________________________________________________

Arrival flight details : _________________________________________________

Airport Pick Up Required : Yes / No (Please circle)

Departure date ____________________________________________

Departure flight details: _____________________________________

Return Airport Transfer Required: Yes / No (Please circle) The hotel car ill be arranged to depart from the hotel, 3 hours prior to the departure time of the flight.

Please tick the box for room type required

Imperial Single Room: INR 17,095

Imperial Double Room: INR 17,345

_

Heritage Single Room: INR 20,110 _

Heritage Double Room: INR 20,360_

(Breakfast and airport transfers are included in all the room types, Luxury Tax and VAT is included)

Smoking_________

Non smoking_______

Special requirements______________________________________________________________________________

(We will do our best to accommodate these requests but cannot make any guarantees.)

Newspaper request Economic Times, Times of India, Hindustan Times, The Hindu , Business Standard, Herald Tribune, Others (Please specify above, along with any other leading international daily newspaper _______________________ *The hotel does not guarantee availability of all international newspapers.

The above rates include buffet breakfast and airport transfers and are on per room / per night basis.

Accommodation guarantee Reservations cannot be made without a valid credit card number (Visa, MasterCard, American Express)

Type of card _______________________________________________________________

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