Hotel Reservation Form

    1. Participant Information (Please fill in the blanks below.)
    First Name (Given Name): Last Name (Family Name):
    Country: Affiliation:
    Address:
    E-mail:
    Tel. (Incl. Country Code) Mobile Phone (Incl. Country Code)

    2. Hotel & Room Type
    Check-in Date: Check-out Date:
    No. of Nights: No. of Person:
    Room Share With: Special Request:

    3. Payment Method

    Please select either a credit card or a bank transfer and fill in the payment information

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

    Option 1:    Credit Card
    Card Type: VISAMasterAMEX
    Card Number: - - -
    Expiration Date: (mm/yy) / CVC Number :
    Card Owner:

    *CVC Number: 3 figures digit number on back side of the card.

    ※ I authorize GTN Co., Ltd. to charge the credit card indicated on this form. 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