Reservation Form



 

Personal Information

   
  Name : A value is required.
  Gender : Please select a valid item.Please select an item.
  Nationality : A value is required.
 

Booking Information

   
     
  Booking Date :
  Time : A value is required.
ex: 03.00 PM
       
 

Contact Information

   
  Email : A value is required.
  Handphone : A value is required.
ex: +657012547
   
  Are you in Tanjungpinang now? we have free transportation for you... Please list hotel below!
       
  Hotel : *Optional
       
     

Fast booking and get special discount :
Call WhatsApp or SMS :
inquiry@bintanparadisespa.co.id
+62 813 647 12345 (Chen Guan Zhen / Ali)
Speaking Mandarin & English