Hotel Padma Resort Booking Form

ASOSIASI SATELITE INDONESIA – WORKSHOP & SYMPOSIUM
PADMA RESORT LEGIAN - INDONESIA

FROM 5 TO 9, SEPTEMBER, 2016
BOOKING FORM
GENERAL INFORMATION
First Name Middle Last Name
NAME (MR/MS/MRS) __________________________________________
PASSPORT/KTP NO. __________________________________________
DESIGNATION __________________________________________
COMPANY __________________________________________
COMPANY ADDRESS __________________________________________
COUNTRY __________________________________________
COMPANY TELEPHONE / FAX __________________________________________
MOBILE __________________________________________
E-MAIL ADDRESS __________________________________________
DELEGATES STATUS __________________________________________

(1 Delegate / co delegate)
st
ARRIVAL & DEPARTURE
ARRIVAL: ____________ FLIGHT NO: ___________ TIME: ______
DEPARTURE : ____________ FLIGHT NO: ___________ TIME: ______
Room Room rate (net/room/night, single/double occupancy)
Page 1 of 5
Type
Number of KTP/ KITAS holder
room (s) Special Inclusion
FREE Return Airport Transfers (min.
ROH Rp. 1.500.000 net 2 Consecutive nights)
Room Room rate (net/room/night, single/double occupancy)

Type Number of Foreigner/ Non KITAS holder
room (s) Special Inclusion
FREE Return Airport Transfers (min.
ROH Rp. 1.950.000 net 2 Consecutive nights)
Room rate inclusions:

 Daily International Buffet Breakfast
 Free Wi-Fi connection.
 Welcome drink and cold face-towel upon arrival.
 Welcome fruits and flowers in the room upon arrival.
 In-room tea and coffee making facilities.
 Daily replenished in-room mineral water.
 Pillow Menu.
Remarks:
 Run of House (ROH) is a mixture of Deluxe Room, Deluxe Lagoon View, and Deluxe Chalet
 Maximum occupancy in the rooms are 3Adults OR 2Adult+1Child OR 2Adults+1Infant OR 1Adult +
2Children OR 1Adult+2Infants*
 Special request (single/double/king/twin/connecting/adjoining room/upper floor/lower floor) cannot

be guaranteed and will be subject to the availability upon check-in.
 Third person in each room will use extra bed with additional charge. Please note that maximum of
extra bed is one in each room.
 KTP is Indonesia ID card held by Indonesian Citizens and KITAS is a working permit issued by the
Indonesian givernment to qualified foreigners.
 All offers cannot be combined with other discounts and/or special offers, unless otherwise specified
 Quoted rates are valid 2 days before and after the event. Room is subject to availability
Additional charge for the 3rd person (KTP/KITAS holder):

 Adult : Rp 500.000 net/person/night
 Children 6-12 years old : Rp 250.000 net/person/night
Page 2 of 5
 Child up to 5 years old : Free of Charge
Additional charge for the 3rd person (Foreigner/ Non KITAS holder):
 Adult : Rp. 650,000 Net/person/night
 Children 6-12 years old : Rp. 350,000 Net/person/night
 Child up to 5 years old : Free of Charge
TERMS AND CONDITIONS
1) RATES:
 All quoted rates are in Rupiah, net, inclusive of 21% Government Tax and Service Charge unless
otherwise specified.
2) CHECK-IN AND CHECK-OUT TIME POLICY:

 Check-in time : 1400 hours.
 Check-out time : 1200 hours.
 Early check-in and late check-out are subject to availability. The cost of late check-out up to 18:00
hours is 50% from the quoted room rate above and check-out after 18:00 hrs is considered as one
night
3) RESERVATION:
 Please submit this “booking Form” together with flight details information to our reservation
attention to Ms. Ari Anggreni at ari.anggreni@padmahotels.com and Mr. Yoggi Permana
Yoggi.Permana@padmahotels.com latest by Friday, 19, August, 2016 After this date, offered
room rate is no longer valid and room will be subject to availability.
4) PAYMENT:
 50% Non-refundable Deposit will be charged to the credit card provided at the time of booking.
 Remaining Balance will be charged when check-in.
 All spaces will be automatically released should the payment does not reach the hotel as per
above deadline
 Payments can be settled by cash, credit card, bank draft or telegraphic transfer to our bank
account as stated in the pro forma invoice. Please note that Bank transfer fee will be covered by
sender
 Accepted credit cards: Visa, Master Card, Amex, JCB and Diners Club
 IMPORTANT: For credit card payment, we will require copies of your credit card (front sides),
Payment Authotization form and your valid ID (scan or facsimile) for security purposes at our
Accounting Department. Otherwise, we will not process the deposit through your credit card.
Please note that we will confidentially use the information for further processing
 For telegraphic transfer please send to:
Page 3 of 5
BANK MANDIRI (KUTA BRANCH) BANK CENTRAL ASIA (DENPASAR BRANCH)
Jl. Raya Kuta 456, Kuta – Bali – Indonesia Jl. Hasanudin 58, Denpasar – Indonesia
Account Name: Padma Resort Bali at Legian Account Name : HOTEL PADMA BALI
US$ Account No: 145 00910 68730 IDR Account No. : 040 133 2188
Swift Code: BMRIIDJA
5) CANCELLATION POLICY:
 We will charge 50% of room payment if cancellation received after deposit payment.
6) NO SHOW POLICY:
 Cancellation on the same day or No-show : 100% from total amount (full payment).
 No Show room(s) are held until hotel check-out time on the following day. Hotel then has the right
to release the room(s).
7) EARLY CHECK-OUT POLICY:
 We will charge 100% of room charges based on period of stay which is booked if guest checks-out
prior to the reserved check out date.
8). ASSISTANCE
 Contact us at Ms. Ari Anggreni - Reservation E-mail: ari.anggreni@padmahotels.com
cc. Mr. Yoggi ( Senior Corporate Sales Manager ) E-mail: yoggi.permana@padmahotels.com

9). OTHERS
 Force Majeure - The obligations contained herein won’t be applied, will apply or will be
suspended in case of “force majeure” such as, on the site of the event or in the city where the
event takes place: an act of public authority, hostilities, war, act of government, natural disaster,
fire, flood, strikes, … and so on.
The parties shall use all their efforts to prevent or reduce the effects of a breach of contract
caused by a force majeure event. The party wishing to invoke an event of force majeure shall
immediately notify the other party of the beginning and the end of this event, otherwise it can’t be
discharged from its liability.
Page 4 of 5
CREDIT CARD AUTHORIZATION FORM
To: PADMA RESORT LEGIAN Phone: +62 361 752111

Attn: Reservation Department Fax: +62 361 753628
Date:
Authorized For: Padma Resort Legian
Card Type: _______________________

(visa/master/jcb/amex/diners)
Card Number: _____________________________
Expiry Date: ________________
Card Holder’s Name: _________________________________________
Card Holder’s Contact Number _________________________
Authorized Amount: Rp
Payment for:
Check in/out date
Card Holder’s Signature:
…………………………..
PLEASE PROVIDE US THE CREDIT CARD’S COPY (FRONT SIDE) FOR BANK REFERENCES, AS WELL AS
COPY PASSPORT OR ID
I AUTHORIZE PADMA RESORT LEGIAN TO CHARGE THE ABOVE CREDIT CARD FOR THE ABOVE AMOUNT
FOR RESERVATION BOOKING AS MENTIONED ABOVE.
Page 5 of 5

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ASOSIASI SATELITE INDONESIA – WORKSHOP & SYMPOSIUM

PADMA RESORT LEGIAN - INDONESIA

First Name Middle Last Name

NAME (MR/MS/MRS) __________________________________________

PASSPORT/KTP NO. __________________________________________

COMPANY ADDRESS __________________________________________

COMPANY TELEPHONE / FAX __________________________________________

E-MAIL ADDRESS __________________________________________

DELEGATES STATUS __________________________________________

ARRIVAL & DEPARTURE

ARRIVAL: ____________ FLIGHT NO: ___________ TIME: ______

DEPARTURE : ____________ FLIGHT NO: ___________ TIME: ______

Room Room rate (net/room/night, single/double occupancy)

Room Room rate (net/room/night, single/double occupancy)

Room rate inclusions:

 Special request (single/double/king/twin/connecting/adjoining room/upper floor/lower floor) cannot

Additional charge for the 3rd person (KTP/KITAS holder):

TERMS AND CONDITIONS

2) CHECK-IN AND CHECK-OUT TIME POLICY:

 For telegraphic transfer please send to:

7) EARLY CHECK-OUT POLICY:

 Contact us at Ms. Ari Anggreni - Reservation E-mail: ari.anggreni@padmahotels.com

cc. Mr. Yoggi ( Senior Corporate Sales Manager ) E-mail: yoggi.permana@padmahotels.com

To: PADMA RESORT LEGIAN Phone: +62 361 752111

Authorized For: Padma Resort Legian

Card Type: _______________________

Card Number: _____________________________

Expiry Date: ________________

Card Holder’s Name: _________________________________________

Card Holder’s Contact Number _________________________

Check in/out date

Card Holder’s Signature:

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ARRIVAL: ______ FLIGHT NO: _ TIME: __

DEPARTURE : ______ FLIGHT NO: _ TIME: __