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)
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