Please return this Hotel Reservation Form to:

RHTi Hotel
Attn : Reservation Department
E-mail : info@rhtibd.com
Tel : 01713332615
Mail : House 15, Road 03, Nikunja 2, Dhaka
Bangladesh

Hotel Reservation Form

Please confirm the following room reservation:
PARTICIPANT INFORMATION (* Required Fields)
* Title:  Prof  Dr  Mr  Mrs  Miss

* Surname: * First Name:

* Company:

* Mailing Address

* Country/Region: * Email:
* Tel (office hours): Mobile: Fax:
(Country Code) (Area Code) (Number) (Country Code) (Number) (Country Code) (Area Code) (Number)

Name of the other occupants:

Title:  Prof  Dr  Mr  Mrs  Miss

Surname: First name:

A. Room Selection
Room Price
Hotel Room Details
(on per room per night basis)
Premium Single US$200.00++ Room with one single bed for one person

Deluxe Double US$225.00++ Room with one King size double bed for couple

Deluxe Twin US$230.00++ Room with two separated single bed for friends

Superior Suite US$300.00++ One master bed with one living room and a kitchen

Check-in: Check-out: _____________ ___ Total: Night(s)

(DD/MM/YY) (DD/MM/
YY)

Single Room Double Room Twin Suite Smoking Non-smoking

Room
Sub-Total (A): USD
 The above mentioned room rate includes Breakfast served at Sao 26 Restaurant.
 The reservation includes complimentary access to our RHTi Fitness, swimming pool and wifi.
 Rates are quoted per room per night, subject to availability.
 All guest room rates are subject to VAT tax (15%) and service charge (10%).
 There will be an additional charge of USD 50.00 + VAT and service charge per day for an additional bed if requested.

B. OPTIONAL AIRPORT TRANSFER

 Arrival Transfer Only  Departure Transfer Only  Both Departure & Arrival Transfer
Arrival Date: Departure Date:
Arrival Flight: Departure Flight:
CHOICE OF TRANSPORTATION PRICE
 By Airport Shuttle Bus on Join-in basis * US$18.00 per way per person
 By Private Car (suitable for maximum 2 persons with luggage) US$95.00 per car per way
 By private 6 seater van (suitable for maximum 4 persons with luggage) US$120.00 per van per way
Sub-Total (B): USD
• REMARKS: The RHTi hotel is 10 minutes from the Hazrat Shahjalal International Airport by airport limousine bus.
• All transfers are subject to our confirmation.
…Please turn over

1
 METHOD OF PAYMENT (All charges will be on Guest’s own account. Credit card or Bank Transfer under guest’s name will be request for
guaranteeing the booking. Once payment is settled, it will be non-refundable and non-transferable.)
 Paying by Bank Transfer (Payable in USD)  Paying by Credit Card
Account Name : RHTiBD Card Type:  Visa  MasterCard  American Express
Account Number : 88301869
Card Number:
Bank Name : Citibank
Cardholder’s Name:
Bank Code : 250
Branch Code : 394 Expiration Date (MM/YY):
Bank Address : Lotus Kamal Tower, Level – 01, Road - 13
Total Amount (A)+(B): USD
Nikunja 02, Khilkhet, Dhaka, Bangladesh
Swift Code : CITIBDAX
CVV Number: (Visa &
For payment by bank transfer, please send the remittance slip with Master Card)
the reservation form for our reference. (The three digit CVV number is located
on the signature
panel on the back of the card immediately
after the card’s account number)

CID Code: (American

Express) (The four digit numbers in print at the
front right side of your card)

Authorized Signature:

Date:

 Paying by Bank Draft payable to “RHTiBD” and send to RHTi’s Office. Please provide the bank copy with the reservation form for our
reference

Please check here if you need accommodations for special needs (i.e. wheelchair accessibility) or any special request.

HOTEL BOOKING POLICY

Cancellation Policy: Cancellation charge applies when cancelled less than 24 hours before Check-in, one nig
Full length of stay will be charged on to the credit card provided. Should reservations be cancelled before 24
In case of No Show or early departure full length of stay will be charged as penalty.
Check in time: 14:00; *Check out time: 12:00;
For Late check out before 18:00, an additional half-day room rate will be charged.
For Late check out after 18:00, an additional full-day room rate will be charged.

Signature: Date: