Reservation Request

This is a reservation request form for Permanent members of Affiliate Clubs only.

* All fields are Mandatory.
Affiliated Club Member Name	:
Affiliated Club Name	:
Affiliated Club Membership No.	:
Detail of Person Staying.....................................................................................................................
Room Preference	:	Select 1 Single Bed Room 2 Single Bed Room 1 Double Bed Room 2 Double Bed Room
Name of Person Staying	:
Relationship	:	Select Self Spouse
Duration of Stay....................................................................................................................................
From	:
To	:
Payment ................................................................................................................................................
Payment Description	:
Address of Member / Affiliated Club Member.................................................................................
Address	:
Email	:
Phone No.	: