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Kumpul Kumpul Villa
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Payment Authorization
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Booking Details
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Payment Details
Payment Amount (IDR)
Payment Purpose
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Notes (Optional)
Billing Details
Cardholder Name
Card Type
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Number
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Card Issuer
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Identity Verification*
*required only for IDR 1 million & above
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Government issued ID (Passport/Driver License)
Cardholder Agreement
As cardholder, I authorize Kumpul Kumpul Villa to charge my card. I understand this authorization is legally binding and that I maybe required to present my card upon arrival for verification
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Cardholder Signature
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