Name:
Address:
Country:
Phone:
E-mail:

(Month /Day /Year)

(Month /Day /Year)
Room Type
Comment/ Information
Standard Room - 52,000/ = [ $31 ]
Deluxe Room - 82,000/ = [ $52 ]
Superior Room - 97,000/ = [ $61]
* Extra 10,000/ [$6] For Double Occupancy
[Dollar Rate $1 = 1600 Ush]
Inclusive of Breakfast & Health Club Use
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