Name:
Email:
Phone Number:
Date of Function:
Preferred Dining Time:
No. of guests
No. of child seat required
Type of Function (where applicable)	Please Select one Birthday Anniversary Corporate Others
Preferred Seating	Please Select one Indoor Outdoor
Hotel which you will be staying in Bintan
Transport Requirements	yes no
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	(free transfer within Nirwana Gardens, S$15 one way from Banyan Tree, and S$20 one way from Bintan Lagoon)