Hotel Guest Registration Form

Please fill out the form below.

Name

Citizenship Local Foreigner

Address

Email

Mobile Number

Home Phone Number

Booking Information

Check-in Date

Check-out Date

Number of Guests in Room

Room Type Single ($100) Double ($100) Queen ($200) King ($210) 2-Bedroom ($350) Suite ($500)

Smoking Room Yes No

Lease Pocket Wifi ($5) Yes No

Free Shuttle Service Yes No

Payment Methods Debit/Credit Card Visa Paypal

Notes/Special Requirements