Jl. Pratama Lingk. Celuk, Kel. Benoa, Kuta Selatan – INDONESIA Phone: (62-361) 8468 333, Fax: (62-361) 8468 337
Email: [email protected] Website: www.amarishotel.com
The 15
thQuality In Research (QIR) Nusa Dua - Bali, Indonesia, 24-27 July 2017
HOTEL RESERVATION FORM Please select room type required:
Amaris Hotel Pratama Nusa Dua
– Bali Room Rate per room per night ( Single Or Double )
Smart Room Double (18 sq. m) IDR 400.000,- per night (bed and breakfast) (incl. service charge and Tax) Smart Room Twin (18 sq. m) IDR 400.000,- per night (bed and breakfast) (incl. service charge and Tax) Please complete the following information:
Guest name and surname Arrival date
Departure date No. Of Room Country Address Phone number E-mail address
CREDIT CARD PAYMENT AUTHORIZATION FORM
I hereby declared that I will be responsible for the above guest/s transaction to be charged to my account Payment by :
American Express Visa Card Master Card
Card Holder’s name :
Card Number (14 digits) :
Expire date :
Note : BOTH SIDES COPY OF CREDIT CARD & ID CARD IS REQUIRED
I am authorizing Amaris Hotel Pratama Nusa Dua to charge me without liability for beneficiaries expenses as stated above or any claim in case of a shortage on my account to the beneficiary’s credit.
Signature
Jl. Pratama Lingk. Celuk, Kel. Benoa, Kuta Selatan – INDONESIA Phone: (62-361) 8468 333, Fax: (62-361) 8468 337
Email: [email protected] Website: www.amarishotel.com
● Payment can be done using credit card or bank transfer. Our bank account details are as follow:
BCA
PT. Griya Nusa Kencana 2063 - 703 - 788 (IDR) Swift Code : CENAIDJA
(Note : bank fees should be paid by customer)
HOTEL TERMS AND CONDITIONS Rate quoted in Indonesia currency - Rupiah
Rate inclusions :
● Buffet Breakfast at @xpress
● Free in room internet access
Check-in: From 2 p.m. Check-out : 12.00 noon
Airport Transfer : Amaris Hotel Pratama Nusa Dua – Bali is located 10 km from the Ngurah Rai International Airport but we not provide airport transport.
Cancellation
1. A 1 night charge from the total amount of period reserved will be applied if cancellation received 14 days prior to arrival date
2. No Show as well as early departure, a 100 % charge from the total amount of period reserved will be applied.
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Please e-mail the completed registration form to [email protected] or send it by fax to Fax:
+62 361 8468337.