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16^th CONGRESS OF THE INDONESIAN ORTHOPAEDIC and TRAUMATOLOGY ASSOCIATION
Combined With
6^th APOA HIP SECTION MEETING,
1^st MEETING OF ASEAN ARTHROPLASTY ASSOCIATION (AAA)
1^st MEETING OF THE INDONESIA HIP & KNEE SOCIETY (IHKS)
ASIA PACIFIC ORTHOPAEDIC SOCIETY for SPORT MEDICINE (APOSSM)

November 27^th- 29^th, 2008
BALI INTERNATIONAL CONVENTION CENTER
THE WESTIN RESORT NUSA DUA BALI

Registration Form

Hotel Reservation Form

Hotel Reservation Confirmation Form

REGISTRANT'S PROFILE

Registrant’s Surname

Registrant’s First Name

Company

Address

City

Country Indonesia - Overseas Participant

Province

Post Code

Telephone

Fax

Arrival Date

Flight Number/Arrival Time

Departure Date

Flight Number/Dept Time

No of Room(s)

No of Guest(s)

Credit Card Type

Card Number

Expiration Date

Hotel Information Please check your choice(s) - minimum 1 type of room

The Westin Resort Nusa Dua Bali
P.O. BOX 36, Nusa Dua 80363,
BALI, INDONESIA
P: (62)(361)771906, 773623, 773624
F: (62)(361)771842, 772047
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Room Categories	Single & Double Rates
Classic Garden View	US$175
Classic Pool View	US$195
Royal Beach Club Terrace	US$265
Royal Beach Club Suite	US$420

Ayodya Hotel
Jl. Pantai Mengiat PO BOX 46,
Nusa Dua 80363, BALI, INDONESIA
P: 62.361.771102
F: 62.361.771616
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Room Categories	Single & Double Rates
Deluxe	Rp 850.000
Grande	Rp 950.000
Ayodya Palace Room	Rp 1.250.000

Inna Putri Bali Hotel
Nusa Dua, Denpasar 80363,
Bali Po Box 1, IND
P: 62.361.771020
F: 62.361.771137, 771139
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Room Categories	Single & Double Rates
Superior	Rp 600.000
Deluxe	Rp 700.000

REMARKS

All room reservation must be made through the Events Department and subject to room availability.
A special room rate has been arranged for all guest; in order to receive this rate, please do not make your reservation through a travel agent.
Applicable for a reservation made before Friday, October 24^th, 2008 and after the date the hotel reserves the right to review the offer and based on the demand and forecasts, the rates and conditions might change accordingly. Booking will be on first come first serve basis and confirmation will be subject to room availability.
All the above rates are inclusive of 21% government tax and service charge and inclusive of daily buffet breakfast.
A non-refundable deposit equal to a one (1) night’s stay is required to hold the reservation. Thus deposit shall serve to confirm the reservation for the dates indicated, and upon check-in this deposit shall be applied to the first night of the reserved stay. A bank draft or a valid credit card number and expiration date is acceptable.
For any late rate arrival and early departure will be charged according to length of stay.
Any cancellation or no shows that occur within 72 hours prior to arrival date will be charged the full length of stay booked as cancellation/ no-show fee.
Check in time: 15.00 hours. Rooms for arrival before 15.00 will only be allocated/ confirmed upon availability.
Check out time: 12.00 hours. A 50% of room charge is applied for late checkout until 18.00 hours and full room charge for late checkout after 18.00 hours.

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indonesia-orthopaedic.org - Department of Orthopaedic Surgery
Dr.Cipto Mangunkusumo Hospital / Faculty of Medicine University Indonesia
Jl. Diponegoro No.71, JAKARTA 10430, INDONESIA. Phone : 62.21.3929655 / 3917378, Fax : 62.21.3905894
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