Name：
Gender：
Male
Female
Date of Check-in：
2010
2011
2012
2013
yy
1
2
3
4
5
6
7
8
9
10
11
12
mm
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
dd
Date of Check-out：
2010
2011
2012
2013
yy
1
2
3
4
5
6
7
8
9
10
11
12
mm
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
dd
Type of Room：
not specified
Exquisite Single NT$4000
Deluxe Single NT$4500
Grand Single NT$5500
Exquisite Double NT$4500
Deluxe Double NT$5000
Deluxe Suite NT$10000
Golden China Suite NT$15000
※10% service charge to all rates, 5% VAT included
Number of Room：
Additional bed at NT$600 per bed
Contact Tel. No：
E-mail：
Fax：
Mailing Address：
Airport Shuttling Service：
Date of Arrival：
2010
2011
2012
2013
yy
1
2
3
4
5
6
7
8
9
10
11
12
mm
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
dd
Flight No.：
Date of Checking out：
2010
2011
2012
2013
yy
1
2
3
4
5
6
7
8
9
10
11
12
mm
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
dd
Flight No.：
I don't need pick-up service
One-way
Two-way
Benz 07:00~22:59 NT$1400 /One Way
Benz 23:00~06:59 NT$1600 /One Way
Any other Requests(Please specify)：