Reservation - Blessing Residence - Homy Residence in the City

To make a reservation, you can contact the hotel by telephone on +62 (21) 529 21168, by fax on+62 (21) 529 21173 or you can fill in this reservation form request below.

To enable us to respond efficiently to your reservation request, please fill in each line. The Blessing Residence ensures your confidentiality and will not distribute your name, address or contact information to other companies.

BOOKING ARRANGEMENT AND SECURITY DEPOSIT
Upon signing the Lease Agreement, this Booking Deposit will become the Security Deposit, which will be refundable interest free at the expiration of the Lease, subject to the Terms and Conditionsof the Lease Agreement.

Name & Address

	Mrs Mr Miss
Last Name
First Name
Company
Address


Zip code	City
State/Province
Country

Contact

Email Address
Phone Number	(specify country code)
Mobile Number	(specify country code)
Fax Number	(specify country code)

Length of Stay

Arrival Date	(e.g : May 11, 2009)
Departure Date	(e.g : May 11, 2009)

Number of Persons

Number of Adults
Number of Children	0 - 2 years 2 - 12 years

Type of Accomodation

Number of Rooms
Type of Rooms	(Deluxe Double, Deluxe Twin, or Superior)

Notes

Information

Important - your reservation request will be only confirmed upon availability. Our reservation department will contact you and inform you of the outcome of this request, please therefore indicate how you wish to be contacted.

Email Telephone Fax