Reservation Form Personal Details: Full Name * Title Mr Mrs Ms Mstr * Email Address * Please fill the correct e-mail address Telephone. no * (Country code + area code + telp.no) Fax. no (Country code + area code + Fax.no) Nationality Reservation Detail Room or Package Standard Ocean View Deluxe Ocean View Package A (IDR 2.200.000,-) Package B (IDR 1.950.000,-) Check In Date January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 202120222023 Check Out Date January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 202120222023 Total of Room Single Bed Double or Twin Bed Extra Bed Number of Persons Adult * (Up to 3 yrs) Child (1-3 yrs) Arrival Flight ETA: (Estimate Time Arrival) Departure Flight ETD: (Estimate Time Departure) Airport Transfer Yes No Additional Request Security Code * Type the code shown Fields marked with an asterisk (*) are required input fields.Accepting payments by VISA or MasterCardPay when You arrive at hotel