Hotel Reservation Form

First Name

Last Name

Country

Affiliation

Address

E-mail

Tel. (Incl. Country Code)

Mobile Phone (Incl. Country Code)

Hotel Name & Room Type, Room Rate

Check-in Date

Check-out Date

Room Share With

No. of Person

No. of Night

Special Request

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

Option 1: Credit Card

Card Type VISAMasterAMEX

Card No.

Expiration Date(mm)

Expiration Date(yy)

Card Owner

Card Owner’s Sign

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

※ I hereby authorize GTN to debit my credit card. YesNo

Option 2: Bank Transfer
Bank Name & Branch:	TBI
Bank Address:	TBI
Account No.:	TBI
SWIFT Code:	TBI
Account Holder:	GTN CO LTD
Sender's Name:	(Please write down if the sender's name differs from the participant's name.)
※ The remittance fee is borne by the senders. ※ Be sure to send a copy of the remittance receipt by email to corl2025.hb@gmail.com upon request