RESERVATION FORM
Submit Online On *

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Name *
List other names below if more than one
Isi penama lain di bawah sekira melebihi seorang
Name
Name
Name
Name
Name
Name
Name
Name
Name
Total No. Of Guests *
Address / Alamat *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Email *
Check relevant boxes
 Room 1 - Single Room - RM55(one single bed) 
 Room 2 - Single Room - RM55(one single bed) 
 Room 3 - Quad Room - RM 110 (4 single beds) 
 Room 4 - Twin Sharing - RM75(two single beds with att shower) 
 Room 5 - Twin Sharing - RM75(two single beds with att shower) 
 Room 6 - Double Room - RM 80 (one Qbed with att shower) 
 Room 7 - Single Room - RM70(one Single bed with att. shower) 
 Room 8 - Twin Sharing - RM70(2 single beds) 
 Room 9 - Double Room - RM75( one Qbed with att shower) 
 Room 10 - Twin Sharing - RM65(two single beds) 
 Room 11 - Twin Sharing - RM65(two single beds) 
Total Number of Rooms
Amount *
$
Dollars
.
Cents
Check-IN Date/Time *

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YYYY
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AM/PM
check-in 2.00 pm
Check-OUT Date/Time *

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YYYY
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MM
AM/PM
check-out 12.00 noon. A nominal charge shall be imposed for late check-out / Caj akan dkenakan kadar berpatutan sekiranya check-out lewat
Phone Number
Nomor Fon *

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malaysia numbers only
Deposit
RM *
At least 50% be paid now to allow rooms be blocked / Sekurang 50% di jelaskan untuk dapat kesahan bilik
Disbursement thru internet banking and CLICK your appropiate bank ie CIMB or Maybank
Bayaran melalui internet banking dan CLICK bank pilihan anda ie CIMB atau Maybank *
1.Once you've banked-in text or call us for verification.

2. We will confirm acceptance when our statement of accounts is in order

I agree to the terms and conditions above *
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LTM Slumber Lodge
25 Jalan Hamzah Kampong.Baru, 50300 Kuala Lumpur
MALAYSIA

Contact Us:
03-22028380
Mobile :012-7081241 (lotfee) or 019-2349515 (musalmah)