========================================================================== Hotel Reservation FORM - 9th TAHI Project IPv6 Interoperability Test Event ========================================================================== Fax the information below to: 9th TAHI Registration Desk c/o Maki Ikegami, e-side, inc. Fax: 81-3-3585-8162 * Not required if already submitted with Registration Form. ========================================================================== Name: __________________________________________________________________________ Registration Number: __________________________________________________________________________ ========================================================================== DESIRED ACCOMMODATION APA HOTEL RESORT TOKYO BAY MAKUHARI - available from May. 13 (in) through May. 18 (out) Room Rate: 9,240 JPY - one night use of a single room (breakfast and service charges included/5% tax not included) ========================================================================== In: May. _______ Out: May. _______ Nights: _______ ========================================================================== *CREDIT CARD INFO (required to guarantee reservation) ========================================================================== Credit Card: [ ] VISA [ ] MasterCard [ ] AMEX Cardholder's Name: __________________________________________________________________________ Card Number: __________________________________________________________________________ Expiry Date: MM YY __________________________________________________________________________ ========================================================================== PLEASE DO NOT SEND CREDIT CARD INFORMATION BY E-MAIL. ========================================================================== Notes: 1. This service provides you with a reservation only. Payment should be made at the hotel front desk on check out. Receipts will be issued by the hotel as required. 2. Credit card info is required to guarantee your reservation. The card will not be processed unless a cancellation charge applies. 3. Cancellation charges will be applied as follows: Cancellation Notice given: a) on or before May 5 - no charge b) May. 5- May. 12 - 5,000 JPY c) on the first day of stay (or no notice given) - one night's accommodation (9,240 JPY)