Rate and Reservation Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=210 BGCOLOR="#336633" TEXT="#080000"> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> <td valign="top" colspan=2 height=82 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0418dfe1esnpes.jpg"> <div> <FONT SIZE="5" COLOR="#006633" FACE="Mistral" ><B>The Centre of Cultural and  Hospitality</B></FONT><B>  </B><B> </B></div> <div> <A HREF="tembi_5c.htm" TARGET="_top" TITLE="Facility"><U><B>Facility</B></U></A><B>  |  Rate and Reservation Form  | </B><A HREF="id94.htm" TARGET="_top" TITLE="Schedule and Package "><U><B>Schedule and Package</B></U></A><B>  |  </B><A HREF="id95.html" TARGET="_top" TITLE="Cultural Activity"><U><B>Cultural Activity</B></U></A><B>  |  </B><A HREF="id96.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A><FONT SIZE="2" COLOR="#000000" FACE="Times New Roman" ><B>                                                                                                                                                                                                                                </B></FONT></div> </td> </tr><tr> <td valign="top" height=398 colspan=2 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0418dfc3.jpg"> <div> <B>Rate and Reservation Form</B></div> <div> <B><U><IMG SRC="33d2a150.png" border=0 width="298" height="21" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></div> <bR> <bR> <div> <B>The Rate of Tembi House </B></div> <div>  <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>Untitled Document</title> <style type="text/css">  </style> </head> <body> <table width="279" border="5" cellpadding="5" cellspacing="4" bordercolor="#463A20" bgcolor="#008241"> <tr> <th width="104" bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Badegan</span></th> <th width="135" bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 386.100,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Adikarto</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 509.760,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Wuryantoro</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 509.760,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Ganjuran</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 634.500,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Ngadirodjo</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 634.500,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Polaman</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 634.500,-</div></th> </tr> <tr> <th bordercolor="#A43500" bgcolor="#C1B386" scope="row"><span class="style3">Morangan</span></th> <th bordercolor="#A43500" bgcolor="#C1B386"><div align="center" class="style3">IDR 918.000,-</div></th> </tr> </table> </body> </html>  </div> <bR> <bR> <div> <B>The rates includes:</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">10% Goverment tax and 11% service charge.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">All rates are including breakfast, lunch, dinner and afternoon tea with snack.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Rates are subject to change without prior notice.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Children under 12 year free of charge.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Extra Bed Rp. 99.000,-</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Free transfer to airport vv.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Free shuttle to Malioboro (Drop off only)</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Check out time 12:00 noon.</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b7010433336600.png" HEIGHT="17" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Additional charge 20% from normal rate on 25th of December untill 2nd of January.</B></div> <DIV ALIGN="LEFT"></DIV> <div> <B>Additional charge 10% from normal rate at peak season (1st of July - 31st of August)</B></div> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="LastName,FirstName,Address1,Address2,Company,City,State,Zip,Phone,Fax,Date in,Date Out,Omah Type,Additional Request"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="joebertus@gmail.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Date In:<br> <input type="text" name="Date in" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Date Out:<br> <input type="text" name="Date Out" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Omah Type:<br> <input type="text" name="Omah Type" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Additional Request:<br> <textarea name="Additional Request" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> <TABLE BORDER="5" CELLPADDING="2" CELLSPACING="1" WIDTH="99" BORDERCOLORLIGHT="#A0A0A4" BORDERCOLORDARK="#333333" FRAME="BOX" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#336633 HEIGHT= 68 ><NOBR><div> <A HREF="home.htm" TARGET="_top" TITLE="The Centre of Culture and Hospitality"><U><B><IMG SRC="240503c0.png" border=0 width="80" height="60" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> </NOBR></tD> </tR> </TABLE></div> <div> <B>Home</B></div> </td> </tr></table></body>