ACCOMODATION FORM

 

The rates are quoted included breakfast for maximum 2 persons on a per room per night basis inclusive of 10% service charge and 11% government tax. Please add your transfer charges to all payment you made.
mm/dd/yyyy : 04/28/2015
mm/dd/yyyy : 04/28/2015

For Printed Form, download here

Any payment, can be  transfer via following account :
C/O                     : RESPINA
Bank                   : Bank Rakyat Indonesia (BRI)
KK RS Sulianti Saroso Sunter
No. Account       : 1205.01.000014.30.9

Bank chargers will be borne by participants
Please send via email for payment confirmation to:

SECRETARIAT RESPINA
info.respina.indonesia@gmail.com / info.respina@yahoo.com
For Confirmation please call :
Phone   : (62-21) 2961 4273
HP          : +62 813 8200 8877 / +62 857 1933 5220