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Kumpul Kumpul Villa
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Payment Authorization
Booking Details
Booking Name
Payment Amount (IDR)
Booking Email
Payment Purpose
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Payment Details
Cardholder Name
Card Type
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Card Number
Expiry Date
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Card Issuer
Cardholder Billing Address
Notes (Optional)
Only for transaction above IDR 1 million
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Please upload a valid government ID
Cardholder Agreement
As cardholder, I authorize Kumpul Kumpul Villa to charge my card. I understand this is a legal binding agreement and that I maybe required to present my card upon arrival for verification
I have read, understood and agreed
Cardholder Signature
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