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Consultation Room Rental Application and Agreement Form
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Email
*
Your email
Company/Individual name
*
Your answer
Contact person name
*
Your answer
Nationality
Indonesia
Australia
United States
United Kingdom
Singapore
Philippines
Germany
Netherlands
France
Other:
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Phone number
*
Your answer
Website
Your answer
Rental Objective
Consultation & coaching
Massage
Reiki
Acupuncture
Other:
How did you hear about Serenity's consultation room rental?
Word of mouth, friends and/or family
Browsing on google search for room rentals or yoga centers
Walk-in
Other:
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Possible requested date(s) and time(s)? Our consultation room rental is 100,000 IDR/hour
*
Your answer
Interested in accommodation options? If yes, what category? (rates include buffet vegan breakfast)
Budget (Dorm, Backpacker rooms with shared bathroom) 200,000 - 300,000 IDR/night
Mid-range (Single AC, Double Fans with private bathroom) 450,000-550,000 IDR/night
High-range (Double bed/twin bed with private bathroom) 650,000-700,000 IDR/night
Other:
Interested in meal options? We provide only vegan meals
Special Buffet Breakfast (Start From 80,000 IDR per person per meal)
Lunch (From 130,000 IDR per person per meal)
Dinner (From 130,000 IDR per person per meal)
Optional: raw food
Other:
Interested in our other services? Group discounts available
Airport pickup (350,000 IDR per car) or Drop off (250,000 IDR) max 5 pers per car)
Flower Mandala (150,000 IDR) and flower garlands upon arrival
Projector rental
Whiteboard Rental
Surf classes (400,000 IDR per person)
Massages (variety of styles)
Tours to places of interest
Horse riding
Bicycle Rental
Motorbike Rental
Car Rental
Other:
Would you like Serenity to help with marketing & sales? Sales commission and terms and conditions applicable
Yes
No
Maybe
Clear selection
Other information that you would like to add?
Your answer
Send me a copy of my responses.
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