Hotel Reservation Form

MAHSURI 1 , BBU, JOHOR BAHRU Reservation Form

Please complete the form below.
Your registration will be verified prior to your arrival.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Arrival - Date/Time

MonthDayYearHourMinutesAM/PM Option
Departure - Date/Time

MonthDayYearHourMinutesAM/PM Option
Accommodations
Number of Adults
Number of Kids (If there are any)
Number of Nights at Homestay
RM 350.00 / Night
Payment Method
Pay To*

CIMB 01250000005078
Any Special request?
Should be Empty: