WEDDING FORM | :: ILLIRA HOTEL ::

Main Contact First Name

Main Contact Last Name

Secondary Contact First Name

Secondary Contact Last Name

Email

Home Phone

Mobile Phone

Address

Anticipated Events

Rehearsal

Rehearsal Dinner

Wedding Ceremony

Wedding Reception

Honeymoon

Bachelor / Bachelorette Party

Send-off Brunch

Desired Wedding Date

Alternative Wedding Date

Preferred Wedding Time

Number of Wedding Ceremony Guests

Number of Wedding Reception Guests

Budget (in million Rupiah)

Will you require rooms for yourself or your guests?

Yes No

Approximately how many rooms would you require for your guests per night?

Approximately how many nights would you need for your guests to stay?

Additional Notes