Kindly
complete this form and
attach a copy of your
Identification Card or
Passport in order for
us to process your request.
The completed form can
be faxed to 03-78736860
within three (3) days
of your request date.
If we do not receive
the completed form within
the specific time, your
reservation will be automatically
cancelled.
1.
Member's
Name
:
2.
Membership
Number
:
3.
Agreement
Number
:
4.
Home
Resort
:
Or
MAR Resort
:
5.
Check
In Date
:
(DD/MM/YY)
6.
Check
Out Date
:
(DD/MM/YY)
7.
Guest's
Name
:
8.
Guest's
IC Number
:
9.
Party
size (No. of person)
:
10.
Guest
Contact No. (Tel)
:
11.
Guest
Contact No. (Fax)
:
Important
Note:
Members are
liable for any liabilities unrecoverable from
the guests at the resort.
Incomplete
forms will not be accepted.
Minimum age limit for
nominee/guest to check into resorts is 18 years
old.
Member's / Nominee's Signature
Nominee's Name (If
signed by nominee)
PLEASE FAX A COPY OF YOUR IDENTITY CARD
OR PASSPORT (MEMBER'S OR NOMINEE'S ONLY)
HEAD
OFFICE:
No.
1023, LEVEL 10, BLOCK B1, PUSAT DAGANG SETIA JAYA,
(LEISURE COMMERCE SQUARE), NO.9, JALAN PJS 8/9, 46150
PETALING JAYA, SELANGOR TEL:03-78618899 FAX:03-78731212
e-Mail:info@leisureholidays.com.my