APSR 2022

Hotel Reservation

Hotel Reservation Form

    1. PARTICIPANT INFORMATION

    (Please fill in the blanks below)

    First Name (Given Name):

    Last Name (Family Name):

    Gender:MaleFemale

    Country:

    E-mail:

    Cell Phone: (Including country code)

    Tel: (Including country code)

     

    2. Hotel Name (SELECT)

    Check-In:

    Check-Out:

    * If you want to make reservation for the other dates, please contact the housing bureau directly by email(hotel@aspr2022.org)

    3. PAYMENT METHOD

    (Please indicate your preferred method of payment and payment details)

    ※ Credit Card(Option 1) or Bank Transfer(Option 2)

    Option 1: Credit Card

    Type of Card: VISAMasterAMEX

    Card Number:

    Expiration Date (mm/yy):

    CVC Number:

    Card Holder’s Name:

    *Card Validation Code (CVC): AMEX: 4-digit number, VISA or Master: 3-digit number.

    ※ I hereby authorize Premium Pass International to debit my credit card.YesNo

    Option 2: Bank Transfer(Korea Won) From Overseas

    Bank/Branch:

    Shinhan Bank / Bangwha-Yeok Branch

    Account No.:

    180-012-269217

    Account Holder:

    Premium Pass International

    SWIFT Code:

    SHBKKRSE

    Bank Address:

    135, Geumnanghwa-ro, Gangseo-gu, Seoul, Republic of Korea

    Details of Payment:

    Participant's Name, APSR 2022

    Sender's Name:


    (In case the sender's name is different from the participant)

    ※ All bank service charges are to be paid by registrants.
    ※ Please send us a copy of the remittance