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Request Form ¡@
Name::
Salutation: Mr. Ms
Email::
Reconfirm Email:
Date check-in: (MMM/DD/YY: eg. AUG/12/05)
Date check-out: (MMM/DD/YY: eg. AUG/19/05)
Occupancy: (How many guests?)
¡@ Note: If you would like to inquire a series of dates staying in different rooms and cottages, you are welcome to do so be telling us the details in the block of Other request below. Here is one example:

AUG/12/05 AND AUG/13/05: Batavia Dacha Cottage

AUG/14/05 TO AUG/16/05: Cinnabar Tearoom

AUG/17/05 AND AUG/18/05: Barong Cottage 

Room requested:

Barong Cottage Primitive Room Cinnabar Tearoom Rembulan Demeure Gua Room

Indian Pasha Room Batavia Dacha Cottage South Pacific Room Bintang Room Jupiter Room
Other request:

                                                              

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