############### HOTEL RADISSON RESERVATION FORM #####################

to be sent to

email: reservation@radkat.com.np 

or

fax: +977-1-4411720

before July 31st, 2013 

Attention: Mr. Rajan Shrestha, Director Sales & Marketing, Radisson Hotel

I will participate in the workshop "Shining from the heart of darkness: black hole accretion and jets.", 
Kathmandu, Nepal, October 16 - 21, 2016 

I would like to reserve a SINGLE / DOUBLE ROOM in the category 
SUPERIOR / PREMIUM / BUSINNESS CLASS at the conference rate of 
(135/155)/(160/170)/(220/220) USD, respectively, including breakfast, 
Wi-Fi, and taxes.

First Name:

Last Name:

Date of arrival:

Time of arrival:

Flight number:

Date of departure:

Time of departure:

(repeat the dates in case of more than one continuous stay).

In order to ensure the reservation I am sending the scanned credit card
information by fax to +977-1-4411720

Name on the card:

Card: VISA / MC / AMEX / DINERS

Number:

Valid through:

Signature:

I am informed  that in the case of cancellation  of the reservation 
later than 15 days prior to the arrival I will be charged for one night.