JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PEMESANAN KAMAR
Sign in to Google
to save your progress.
Learn more
* Indicates required question
NAMA PEMESAN
*
Your answer
TEMPAT LAHIR
*
Your answer
TANGGAL LAHIR
*
MM
/
DD
/
YYYY
ALAMAT DOMISILI
*
Your answer
NO HANDPHONE
*
Your answer
ALAMAT EMAIL
*
Your answer
TANGGAL KEDATANGAN
*
MM
/
DD
/
YYYY
TANGGAL KEBERANGKATAN
*
MM
/
DD
/
YYYY
TIPE KAMAR
*
Choose
Deluxe Room, Twin beds (No bf)
Deluxe Room, 1 King Bed (No bf)
Deluxe Room, 1 King Bed (Free bf)
Deluxe Room, Twin Beds (Free bf)
Deluxe Tree House, 1 King Bed (No bf)
Deluxe Tree House, Twin Beds (No bf)
Deluxe Tree House, Twin Beds (Free bf)
Deluxe Tree House,1 King Bed (Free bf)
Luxury Room, 1 King Bed (No bf)
Luxury Room, Twin Beds (No bf)
Studio, 1 King Bed (Free bf)
Executive Suite, 1 King Bed (No bf)
Executive Suite, 1 King Bed (Free bf)
JUMLAH KAMAR
*
Your answer
METODE PEMBAYARAN
*
Choose
CASH
CREDIT
DEBIT
PERMINTAAN KHUSUS
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
