Jonker Boutique Hotel

Personal Information

Title

Address

City

State

ZIP Code

Country

Contact Information
Enter the guest's home phone, work phone and e-mail address in the boxes below

Home

Office

E-Mail

Notes

DELUXE

PREMIER DELUXE

GRAND DELUXE

Number of Rooms

Check-Out Date :

Check-In Date :

CARD Type

CARD NUMBER

EXPIRY DATE

NAME OF CARDHOLDER

*Bank Name

TO GUARANTEE BOOKING, please let us have your credit card details:

Full Name

Address
Enter the guest's street address, city, state, ZIP Code and country in the boxes below.

Passport/NRIC No.

82 -86A & B, Jalan Tokong, 75200 Melaka, Malaysia

Tel: +606- 282 5151 Fax: +606 - 282 9151
www.jonkerboutiquehotel.com email: info@jonkerboutiquehotel.com

Special Instructions & Information:

SUPERIOR