FORM B- ACCOMMODATION BOOKING FORM

Her Presence in Colours IX- International Women Artists Exhibition-USA 2010

　

　

PLEASE PRINT CLEARLY
　 FULL NAME (Title): 　 　
ADDRESS:
TELEPHONE:
EMAIL:
　

ACCOMMODATION Housing is 2 blocks from the Littman Gallery.
$25 per night per person (in a room for 2). Rooms are in a dormitory. 
There are desks/kitchen/bath and shower.   

　
Date 　 Self cater Accommodation

　

Number of rooms

 Cost Total (US Dollars)

1 August  2010

 　 S$25 per person 　
2 August 2010 　 S$25 per person 　
3 August 2010 　 S$25 per person 　
4 August 2010 　 S$25 per person 　
5 August 2010 　 S$25 per person 　
6 August 2010 　 S$25 per person 　
7 August 2010 　 S$25 per person 　
　 　  Total 　
If any additional nights required, please state below.  We will check for availability and let you know
　
Payment by cheque/ bank transfer, please make payable to:

Name: YUEN CHEE LING
A/C Number:0068922002
Bank: CITIBANK BERHAD, PENANG BRANCH
42, Jalan Sultan Ahmad Shah 10050 Penang, Malaysia.
Swift Code: CITIMYKL
Routing No: 10991151
　

The Deadline For Booking Is  March 12 2009

Confirmation Of Your Booking will be sent once payment has been processed

Please complete this form and return to:

Conservatory of Fine Arts / International Women Artists Council (INWAC),
46& 48 Jalan Chow Thye, 10050 Penang, Malaysia

Tel: 604-5375388, Fax: 604: 5398606  mobile：0125726116

Email: cfaapt@streamyx.com

Signature:

Date:

　

For office use only
Name:
Payment amount  US$ __________  by Bank transfer/cash/cheque
Date