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SIKK Hotel Reservation Form

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DIAH UTAMI KUSUMAWARDANI

Academic year: 2024

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SIKK Hotel Reservation Form

Compan y:

Phone No.

Email:

Address:

Customer: Date:

Email: Phone:

Address:

Accompanying Guest(s):

Email: Phone:

Address:

Arrival Date: Arrival Time:

Departure Date: Departure Time:

Hotel Location: No. of Rooms:

 Room Type 1:  Single Room RM  Double Room RM

 Room Type 2:  Single Room RM  Double Room RM

 Room Type 3:  Single Room RM  Double Room RM

 Room Type 4:  Single Room RM  Double Room RM

Payment:  Card  Check  Cash Card/Check No:

Name: Card Valid Through:

Invoice No: Base Price:

Service Charge: Tax:

Total Cost:

Terms and Conditions

Signature Date

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