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RESERVATION FORM 		FAX: +81-3-3502-3169
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SIPit18
April 17 (Mon.) - 21 (Fri.), 2006
Akihabara Convention, Tokyo, Japan

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* - complete one form per participant
* - DO NOT email credit card information
* - return by FAX to: +81-3-3502-3169	

	SIPit18 Reservation Desk   ATTN: MR. SASAMURA
	c/o JTB Tokyo Shinbashi Office
    	Tel: +81-3-3504-2591 (weekdays 9:30-17:30 JST) 
    	Fax: +81-3-3502-3169 
    	email: shinbashi_sales@jtb.jp

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1. GUEST INFORMATION
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First Name: 
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Family Name:
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Organization:
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Country:
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Tel:			  Fax:
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email:
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2. ACCOMMODATION (rates below include service charges, taxes and breakfast)
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[  ] Dai-ichi Hotel Ryokoku
	[  ] Single		12,000 JPY/night

[  ] Tokyo Dome Hotel 
	[  ] Single		18,260 JPY/night 

	Apr. ____ IN / Apr. _____ OUT , ______ NIGHTS  

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3. CARD INFORMATION
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** 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:
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Card Number:
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Expiry Date:		MM		YY
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