Please fill-up the reservation form to proceed your booking

Personal Information(informasi pribadi atau perusahaan)

Company Name
Email Address
Bussiness Phone
Home Phone
Cell Phone
Fax Phone

Passport or Identification Card(No. Paspor / KTP)

Passport / ID Card
Country / Region of Birth Birth Date
Country of Citizenship
Passport / ID Number
Expiration Date

Payment(Cara Pembayaran)

Credit Card #
Credit Card Type
Expire Date

Arrival and Departure Information(Kedatangan dan Keberangkatan)

Date of Arrival Time of Arrival
No. Airline
Date of Depature Time of Depature
Smoking / Non-Smoking
Special Request

Please return the above form to or +62-541-735101 ,

Confirmation letter will be sent to you by email or fax within 24-hours after the booking.

Please be informed there will be no charges apply for the booking. Credit card information will be held as guarantee for the booking only

Free airport pick-up at Balikpapan Sepinggan International Airport will be available.

Arrival and departure column must be filled in order to arrange the free pick-up

Cancellation must be done 24-hours prior to arrival. Necessary charges will be apply if cancel within 24-hours or No-Show.

Bumi Senyiur Hotel Jl. Diponegoro 17 -19, Samarinda, East Kalimantan, INDONESIA (T): +62-541-735101 (F): +62-541-738014,