RAPAT KOORDINASI (RAKOR)

LEMBAGA KEBIJAKAN PENGADAAN BARANG DAN JASA PEMERINTAH

YOGYAKARTA, 06 SEPTEMBER 2017

PARTICIPANT DETAILS

First Name : ………………………………………………………………………………………………………………..

Last Name : ……………………………………………………………………………………...........................
Date of Bith : ………………………………………………………………………………………………………………..
ID / Passport No : ………………………………………………………………………………………………………………..
Address : ………………………………………………………………………………………………………………..
City : ………………………………………………………………………………………………………………..
Country : ………………………………………………………………………………………………………………..
Mobile Number : ………………………………………………………………………………………………………………..
Email : ………………………………………………………………………………………………………………..

ACCOMODATIONS - ROOM

Total Room
Room Type Room Rate Net Booking Remarks

Deluxe Room Twin bed Rp 788.000,-

Premier King bed Rp 970.000,-

Premier Twin bed Rp 970.000,-

Junior Suite Rp 1.700.000,-

Executive Suite Rp 4.500.000,-

Reservation made will based on room availability, check in time 14.00 and check out time 12:00
Inclusions:
a. Above Rate are inclusive tax and services
b. Daily Breakfast for 1 or 2 person max / room
c. Welcome Drink, WI-FI internet connection in all of hotel area
d. Free use of gym and swimming Pool facilities
 PAYMENT BY CREDIT CARD AUTHORIZATION FORM
 I hereby declared that I will be responsible for the above guest/s transaction to be charged to my account

Payment by

 Visa Card  Master Card

Card Holder’s name : ……………………………………………………………………………………………..

Card Number (16 digits) : ……………………………………………………………………………………………..

Signature ………………………………………

Important Notice
Please send along your receipt transfer or complete form with copy of ID to:
Fax : 0274 – 493 2222 or Whatsaap : 0811 2575 444
Email to: reservation@eastparchotel.com and cc: sm@eastparchotel.com

PAYMENT BY TRANSFER

BCA : 037 3411 733

| PT EASTPARC HOTEL | KCU – JL JEND SUDIRMAN, Yogyakarta

MANDIRI : 137 – 00 – 4444 – 1234

| PT EASTPARC HOTEL | KCP – KOTA GEDE, Yogyakarta

BRI : 0029.01.001611.30.7
| PT EASTPARC HOTEL YOGYAKARTA | KCP CIK DI TIRO, Yogyakarta

CIMB NIAGA : 019 – 01 -00555 – 00 – 1

| PT EASTPARC HOTEL | KCU – JL JEND SUDIRMAN, Yogyakarta