PAN ASIAN HOLIDAYS

I would like to book the following accommodation (booking is obligatory):

Mr* Mrs*
*Last name:**
*First Name:**
Institution:
Department:
*Street / Number:**
*Postcode / City:*
*Country:**
*Phone:**
Mobile:
*Email:**
*Date of arrival:**	Time of arrival*: o'clock
*Date of departure:**	Total number of nights*:
I participate in the following event/ congress:
Flight Information
Flight name and no. (Arrival) :
Time of Arrival :
Flight name and no.(Departure) :
Time of Departure :

* = The mandatory fields must be filled in