REGISTRATION CARD
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Arrival Date :
/ /20....
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Departure Date :
/ /20.....
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Number of Room
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Room Type
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Daily Rate :
USD/Rp
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PLEASE USE BLOCK LETTERS
Family Name/Last Name :.......................First
Name :.........................
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Advance Deposit :
USD/Rp.
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Folio Number:
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Company Name
:...............................................Phone/Fax:....................
Address/Residance :
...............................................Phone/Fax:....................
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Date of Birth :
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Passport/ID Card Number:
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Nationality :
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Place & Date of Issue :
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FORM OF
SETTLEMENT
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Cash :
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Credit Card/Number : valid
from: expire date
:
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Voucher :
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Other (Please Specify)
:
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Money, jewels and
Other Valuables must be placed in the hotel safety box, otherwise the
Management will NOT be responsible for any loss. Signature authorizes after
departure billing indicated in Method of payment
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Guest Signature
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Print Clerk Initial
Clerk
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Spv/Ass
FOM Verivied :
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Gambar 1 : contoh registration
card
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