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RESERVATIONS
FORM
Arrival Date
January
February
March
April
May
June
July
August
September
October
November
December
1
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5
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19
20
21
22
23
24
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26
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28
29
30
31
2005
2006
2007
2008
2009
2010
Departure Date
January
February
March
April
May
June
July
August
September
October
November
December
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
31
2005
2006
2007
2008
2009
2010
Guest Name
required
Company Name
Telephone Number
required
Facsimile Number
E-mail
required
Address
required
Flight Number
Extended Arrival Time
Room Type
Standard
Superior
Deluxe
Sigura-gura Floor
Suite
Polonia Suite
Number of Room
With Extra Bed
Yes
No
Number of Extra Bed
1 Bed
2 Beds
3 Beds
ROOM RATES
Standard
Rp. 380.000,-
Superior
Rp. 480.000,-
Deluxe
Rp. 680.000,-
Sigura-gura Floor
Rp. 750.000,-
Suite
Rp. 1.300.000,-
Polonia Suite
Rp. 2.200.000,-
Extra Bed
Rp. 150.000,-
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