========================================================================== RESERVATION FORM FAX: +81-3-3502-3169 ========================================================================== SIPit 24 May 18 (Mon.) - 22 (Fri.), 2009 Akihabara Convention Hall, Tokyo, Japan ========================================================================== * - complete one form per participant * - DO NOT email credit card information * - return by FAX to: +81-3-3502-3169 SIPit 24 Accommodation Desk ATTN: MR. SASAMURA c/o JTB Tokyo Metropolitan Corp., Shinbashi Office Tel: +81-3-3504-2591 (weekdays 9:30-17:30 JST) Fax: +81-3-3502-3169 email: shinbashi_sales@jtb.jp ========================================================================== 1. GUEST INFORMATION ========================================================================== First Name: ---------------------------------------------------------- Family Name: ----------------------------------------------------------- Organization: ----------------------------------------------------------- Country: ----------------------------------------------------------- Tel: Fax: ----------------------------------------------------------- email: ----------------------------------------------------------- ========================================================================== 2. ACCOMMODATION (rates below include service charges, taxes and breakfast) ========================================================================== [ ] Dai-ichi Hotel Ryokoku [ ] Single 11,550 JPY/night [ ] Tokyo Dome Hotel [ ] Twin (Single Use) 22,775 JPY/night [ ] Twin 26,450 JPY/night [ ] Remm Akihabara Hotel [ ] Single 12,600 JPY/night [ ] Twin 16,800 JPY/night May. ____ IN / May. _____ OUT , ______ NIGHTS ========================================================================== 3. CARD INFORMATION ========================================================================== ** the card below will be charged in the amount of 5,000 JPY ** this hotel deposit will be deducted from your bill on checkout [ ] VISA [ ] MasterCard [ ] AMEX Cardholder's Name: ----------------------------------------------------------- Card Number: ----------------------------------------------------------- Expiry Date: MM YY ----------------------------------------------------------- ==========================================================================