Reservation Form

Reservation Form

Once we receive the filed form, we will contact you shortly.
Full Name*

First NameLast Name
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Phone Number*

Area CodePhone Number
Type of Package*

2 Days 1 Night3 days 2 Nights4 Days 3 NightsRoom OnlyFerry Ticket OnlyLand Trasport (Juara-Tekek-Juara)Mersing Island Hopping Day Trip (Route Tinggi Island)Mersing Island Hopping Day Trip (Route Sribuat Island)Mersing Island Hopping Day Trip (Route Harimau Island)Snorkeling Trip Only (Tioman Island)Private Boat (mersing-tioman-mersing)Private Boat (mersing-pulau besar-mersing)
Choose Resort
Check-in Date*

DayMonthYear
Check-out Date*

DayMonthYear
Number of Room *
Number of Adults (12 years above)*
Number of Children (3 to 11 years)*
Number of Children (0 to 2 years)*
Deposit amount*
Deposit payment has been made by:*
Do you have any special request?*
Should be Empty: