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WORDS2003Hot

elReser
vat
ionFor
m

Forthehotelreservati
on,pleasecompletethisfor
m andsendeit
herthesi
gned
for
mv iaFAX( 1-949-824-3203)orsendthef ormviaemail
fir
st(t
oDr.HugoCesar
CoyoteEstrada(coy ot
e@ci c.
ipn.
mx)wi t
hcopyt oChansi
kIm( i
mc@ece.uci
.edu)
)
andlatersi
gnedf ormv iaFAX( 1-
949-824-3203)byDecember2.

Fi
rstName: Calv
in
LastName:Put ra
MailingAddr ess:JL.SELABI
NTANAGG.
MAWAR2DESAWANASARI
City
: Sukabumi
State:Indonesia
Postal Code: 629
Count r
y :I
ndonesia
Phone: 087737001587
E-mai l
:putracalvi
n23@gmail.
com

Hot
elReser
vat
ions(
WORDS2003Speci
alRat
e/Deadl
ine:December2,
2002)
Pl
easemakethefol
lowi
ngr
eser
vat
ions:
Ar
riv
al:
31August2020 Depar
ture:
1Sept
ember2020 No.ofni
ght
s:1
ni
ght

Cat
egor
y Si
ngl
e Doubl
e Non- Smoki
ng
smoki
ng
A Standar
dGarden ()$93.60 ()$93.60 () ()
B Standar
dTower ()$93. 60 ()$93.60 () ()
C Executi
veFl
oor*
* () (✓) (✓) ()
$127.
00 $127.
00

 Thehot el pr
icesshownar eperroom,pernight
,singl
eordoubleoccupancy.
 **Thisr ateincludescontinent
al br
eakfastandsnacksi ntheafternoon.
 Guaranteepol icy:Allr
eservati
onsmustbeguar anteedwi t
hcreditcardora
depositf orfi
rstnightstayandt ax.
 Cancellationpol i
cy:I
ncasey oudonotshowupt hefi
rstni
ghtdepositwil
lbe
chargedt oy ourcreditcardaccount.
Cr
edi
tCard:
(✓)VISA ()Mast
erCar
d

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