Hotel Reservation Form - Society for Cultural Interaction in East Asia

東アジア文化交渉学会
Society for Cultural Interaction in East Asia
東亞文化交涉學會
Society for Cultural Interaction in East Asia
Hotel Reservation Form
SCIEA 6th Annual Meeting at Fudan University
May 8 & 9, 2014
Hotel Information
Name of Hotel: Fuxuan Hotel
(上海復宣酒店)
Address: 400 Guoding Road,Yangpu District, Shanghai 上海市杨浦区国定路 400 号
Phone: 021-55589518 Fax: 021-55661725
URL: http://www.fuxuanhotels.com/
*please write your name both in Chinese character (if applicable) and in English
Name (English)
姓名 (漢字)
Guest Name (Sharing Room)
姓名 (漢字)
Gender (性別)
☐ Male ☐ Female
Arrival Date (到着日)
Title: ☐Prof. ☐Dr. ☐Mr. ☐Mrs. ☐Ms.
Departure Date (帰国日)
Number of days you wish to stay(宿泊日数) Nationality (国籍)
Type of Room
☐ Double (430 RMB)
☐ Twin
(430 RMB: 215 RMB/Person)
*The rate includes breakfast
Others (他)