Full Name (required)

Your Email (required)

Company

Nationality

ID Card / KTP / Passport (required)

Date of Birth (required)

Address (required)

Phone No

Mobile No (required)

Arrival Date (required)

Departure Date (required)

*** TERM ***

I agree to be held personally liable in event that the indicated person
company or association fails to pay any part or the full amount of the
charge incurred.
I hereby authorize Kutaseaview Boutique Resort to charge my credit card with amount outstanding on
my account when i depart.
I consent to this charge being made without signing the final invoice.
Kutaseaview Boutique Resort can not accept any liability for valuables left in the room.
Kutaseaview Boutique Resort will NOT be held responsible for any loss and damage of money,
jewelery, or valuable items left in the room and public area, safety deposit boxes are available free in your room

Please note you have been assigned in NON-SMOKING room. Therefore, by signing on-beside, you agree to follow the
NON-SMOKING regulation in the room, bathroom and refrain from smoking either by yourself or your visiting guests. You are
Liable to pay complete cleaning and fabric treatment charges with the value of two nights room charge per incident on the
booking room type.

You held liable for any unusual/ irregular/non-accidental damages done upon or on any room Appliances,
Aminities, Linens or Towels and you will be charged accordingly with our listed pricing

I Agree