APSR 2022Hotel Reservation Hotel Reservation Form 1. PARTICIPANT INFORMATION (Please fill in the blanks below) First Name (Given Name): Last Name (Family Name): Gender:MaleFemale Country:- Select -AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustriaAzerbaijanBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicDR CongoEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaeroe IslandsFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalQatarRéunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaState of PalestineSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe BahamasTimor-LesteTogoTrinidad and TobagoTunisiaTurkiyeTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVenezuelaVietnamWestern SaharaYemenZambiaZimbabwe E-mail: Cell Phone: (Including country code) Tel: (Including country code) 2. Hotel Name (SELECT) - Select -1-1__InterContinental Seoul COEX / Classic Double / 326,700 won1-2__InterContinental Seoul COEX / Temple View Double / 363,000 won2__Grand InterContinental Seoul Parnas / Deluxe Double / 399,300 won3__Oakwood Premier COEX Center / Studio Superior Double / 310,000 won4__Hotel Riviera / Superior Double / 115,000 won5__L7 Gangnam / Standard Double / 174,000 won6__Shilla Stay Samsung / Standard Double / 200,000 won7-1__Hotel Peyto Samseong / Superior Single / 110,000 won7-2__Hotel Peyto Samseong / Deluxe Double / 146,000 won8-1__ibis Styles Ambassador Seoul Gangnam / Standard Double / 120,000 won8-2__ibis Styles Ambassador Seoul Gangnam / Superior Double / 135,000 won9__Aloft Seoul Gangnam / Standard Double / 146,000 won10__Hotel URI& / Superior Double / 120,000 won Check-In:- Select -15 Nov. 202216 Nov. 202217 Nov. 202218 Nov. 202219 Nov. 2022 Check-Out:- Select -20 Nov. 202221 Nov. 2022 * 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 Submit