DATE : _____________________

To : Reservation Department Fax No: 603 21482877

Federal Hotel, Kuala Lumpur email: reservations@federal.com.my

Subject : Room Reservation for 31^st Asean Bridge Club Championships

To make your booking and confirm your accomodation, please complete and fax this form to Federal Hotel Kuala Lumpur DIRECTLY before the 1^st of November 2009.

Name (as per Passport) : ___________________________________________________

Total No. of Pax : Adult __________________ Child __________________

Check In Date : ___________________________________________________

Check Out Date : ___________________________________________________

		No. of Room
Superior Room @ RM220++ with breakfast(s)	Single
	Twin/Double

Form of Payment* : I would like to pay RM ____________________ by

(Please tick the appropriate box) Visa Card

Master Card

Amex

Others (please specify) __________________________

Card No : ___________________________________________________

CW/ID/Security Code

(last 3 digits for Visa/MC

or last 4 digits for Amex) : ______________ Expiry Date of the Card: ____________

Embossed Name on Card : ___________________________________________________

Mailing Address : ___________________________________________________

___________________________________________________________________________

Tel No: (House) ______________ (Office) ______________ (Mobile) _________________

Fax No: ____________________ E-mail: ______________________________

-----------------------------------

Signature of Cardholder