YTL Resorts & Hotels Reservation Form

For Seraya Energy Customers Only

Mr Mrs Ms

Full Name*

Nationality*

Mailing Address*

Company*

Company Email*

Office No.*

Account No. with
Seraya Energy

Mobile No.*

Package Type

No. of Rooms*

No. of Adults*

No. of Children*

Check in Date (DD/MM/YYYY)

Flight No.

Time

Check out Date (DD/MM/YYYY)

Flight No.

Time

Preferred Resort:
Pangkor Laut Cameron Highlands Majestic Malacca	Tanjong Jara Spa Village Resort Tembok Bali

Preferred Privileges:
Exclusive Gift Pack Worth $50 X	person (s)

$50 Spa Voucher X

person (s)

Remarks
(indicate any special
requirements)

I have read and agreed to the terms and conditions stipulated by YTL and Seraya Energy Pte Ltd for the resort / hotel stay.