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
Number of Rooms
Number of Rooms
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.
Copyright 2010 Jonker Boutique Hotel All Rights Reserved.

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:
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