VIETNAM GUIDE BOOKING FORM

Fax to: VIECA Fax No.: (84-4) 7712 102

Attention: Mrs. Dao Thi Lien Huong, Vice President

Dear Ms. Huong,

Please reserve space for my institution in the Vietnam Guide  the details to be included are as follows:

Institution Name…………………………………………………………………………………

Address…………………………………………………………………………………………

Tel: ………………………………………Fax…………………………………………………

E-mail:……………………………………Website……………………………………………

Contact person………………………………………………………………………………….

I am sending you the following (Please tick appropriate box):

o     o A 300 word English summary about your institution for you to translate into Vietnamese

o     o A photograph/s to be included with the summary

o     o Our institutes logo

o     o Number of black and white page:……..

o     o Number of colour page:………

o     o Payment amount in US$……………….

o o     I have transferred US$………………… to your bank account and am attaching a receipt of the bank transfer so that you can easily trace the transaction

  o    Other……………………………………………………………………………

Name:…………………………………………Position:……………………………………….

Date:…………………………