Your Name
Email
Romantic Dinner Menu (Please provide your preferred menu)
Desired Date Select Month 2025/January 2025/February 2025/March 2025/April 2025/May 2025/June 2025/July 2025/August
Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Start Time Select 17:00 17:30 18:00 18:30 19:00 19:30 20:00
No. of Guests 2 people
Form of Payment Charge to Room Credit Card Cash in Indonesian Rupiah
Mobile/WhatsApp Number
Room Number
Request / Message
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