3M INDONESIA AND COBRA DENTAL CONFERENCE EXHIBITION ON 27-28 APRIL 2019 - SHANGRI-LA HOTEL

JAKARTA

HOTEL BOOKING FORM

Please return completed form to Shangri-La Jakarta at reservationsgroup.slj@shangri-la.com
DELEGATE’S INFORMATION (PLEASE TYPE OR WRITE IN BLOCK LETTERS)

Family Name: First Name:

Organization:

Address:

Country:

Tel: Fax: *E-mail:

Hotel confirmation will be sent to the *email address given. Please include other email address(s) for the same confirmation to be copied to.
HOTEL RESERVATION
 Rates quoted are on a per room per night basis and inclusive of 21% tax & services.
 Complimentary buffet breakfast for one or two at the Satoo Restaurant (as per occupancy)
 Rates have been specially negotiated for participation of 3M Indonesia and Cobra Dental Conference Exhibition On 27-28 April 2019
 Reservation confirmation can only be made with valid credit card information as a guarantee. Please note that non-guarantee booking
will be released 7 days prior to arrival. Once the booking is released, any request for rooms at the negotiated rates will be subject to
availability.
 Any cancellation or change of dates less then 48 hours result in reduction of stay will be subject to a cancellation charge of full duration
of the original stay. Same cancellation charge applies in the event of no show.
Room Rate (inclusive of daily buffet breakfast) Check-in Check-out
Hotel
Please indicate your selection. Date Date
Room Type Single Double
Shangri-La Jakarta Deluxe Room [ ] IDR 2,200,000 Net [ ] IDR 2,200,000 Net
Kota BNI JLN Jend
Sudirman Kav 1 Horizon Club Room* [ ] IDR 2,800,000 Net [ ] IDR 3,000,000 Net
Jakarta 10220, Indonesia
Tel: +62 21 570 7440
Fax: +62 21 570 3533 Room Type :  Smoking  Non-Smoking
Email: slj@shangri-la.com * Guests in the Horizon Club rooms & Suites will enjoy access and benefits at the Horizon
Club Lounge as well as broadband facilities
** All guests can check in 1400hrs and check out at 1200hrs
Room rate valid on 25-30 April 2019
FLIGHT DETAILS
Arrival Date: Arrival Time: Flight No.:
Departure Date: Departure Time: Flight No.:

CREDIT CARD DETAILS (INFORMATION IS REQUIRED IN ORDER TO GUARANTEE YOUR BOOKING)

Credit Card [ ] Mastercard [ ] Visa [ ] Diners [ ] AMEX

Cardholder’s name: Card no.:

Authorized Signature: Expiry Date:

(as in credit card if applicable)

AIRPORT TRANSFER
[ ] Yes, I would like to book airport transfer. Please select your choice of transfer. [ ] One Way [ ] Two Way
[ ] Silver Bird at Rp. 450,000 net / car / one way
[ ] No, I do not require airport transfer.

For any further questions, please contact:

Shangri-La Hotel Jakarta Reservation Department at Email: reservationsgroup.slj@shangri-la.com
Or
Rica Raswitasari at Email: rica.raswitasari@shangri-la.com