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<!-- Locale=en_US_ISO8859_1 -->

    
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  <!-- BOF: ./personal-templates/simple/business/layout/l28.wait -->


<!-- EOF: ./personal-templates/simple/business/layout/l28.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="Toraja Prince is a place where you mix with the Unique Culture of TORAJA ">
<META NAME="Keywords"    CONTENT="toraja, hotel, toraja prince, toraja, toraja accomodation, culture, toraja coffee, coffee toraja, toraja, hotel, toraja prince, toraja, toraja accomodation, culture, toraja coffee, coffee toraja, toraja, hotel, toraja prince, toraja, toraja accomodation, culture, toraja coffee, coffee toraja, toraja, hotel, toraja prince, toraja, toraja accomodation, culture, toraja coffee, coffee toraja, toraja, hotel, toraja prince, toraja, toraja accomodation, culture, toraja coffee, coffee toraja, ">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://d96920.tmp28.quadrahosting.com/form.html">-->
<TITLE> RESERVATION</TITLE></head>
<BODY  BGCOLOR="#FFFFCC"
 TEXT="#000000"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#000000"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/business/layout/l28.layout --> 

<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0>

        <tr>
<!-- Begin Name and Slogan-->
                <td WIDTH=100% valign="top" BGCOLOR="#FFFFCC" VALIGN="top">
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
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<!-- End Name and Slogan-->
<!--Begin Menu-->
        <tr>
                <td WIDTH=100% HEIGHT=100% valign="top" VALIGN="top">
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
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                                                <TABLE WIDTH=228 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 background="widgets/gen_585.1.gif">
                                                        <TR>
                                                                <TD WIDTH=228 HEIGHT=32 background="widgets/gen_585.1.gif">
                                                                        
                                                                        <a href="index.html" onMouseOver="document.images['img14'].src='widgets/gen_590.1.gif'" onMouseOut="document.images['img14'].src='widgets/gen_589.1.gif'"><img src="widgets/gen_589.1.gif" alt="Flashsplash" name="img14" border="0"></a><br>
                                                                        <a href="welcome.html" onMouseOver="document.images['img6'].src='widgets/gen_592.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_591.1.gif'"><img src="widgets/gen_591.1.gif" alt="Welcome" name="img6" border="0"></a><br>
                                                                        <a href="catalog.0.html" onMouseOver="document.images['img16'].src='widgets/gen_594.1.gif'" onMouseOut="document.images['img16'].src='widgets/gen_593.1.gif'"><img src="widgets/gen_593.1.gif" alt="Toraja Prince Hotel" name="img16" border="0"></a><br>
                                                                        <a href="profile.html" onMouseOver="document.images['img101'].src='widgets/gen_712.1.gif'" onMouseOut="document.images['img101'].src='widgets/gen_711.1.gif'"><img src="widgets/gen_711.1.gif" alt="Bumi Johar Hotel Jakarta" name="img101" border="0"></a><br>
                                                                        <a href="Your Bumi Johar Home.html" onMouseOver="document.images['img109'].src='widgets/gen_770.1.gif'" onMouseOut="document.images['img109'].src='widgets/gen_769.1.gif'"><img src="widgets/gen_769.1.gif" alt="Your Bumi Johar Home" name="img109" border="0"></a><br>
                                                                        <a href="form.html" onMouseOver="document.images['img23'].src='widgets/gen_596.1.gif'" onMouseOut="document.images['img23'].src='widgets/gen_595.1.gif'"><img src="widgets/gen_595.1.gif" alt="Hotel RESERVATION" name="img23" border="0"></a><br>
                                                                        <a href="City of Jakarta.html" onMouseOver="document.images['img106'].src='widgets/gen_676.1.gif'" onMouseOut="document.images['img106'].src='widgets/gen_675.1.gif'"><img src="widgets/gen_675.1.gif" alt="City of JAKARTA" name="img106" border="0"></a><br>
                                                                        <a href="Life and Death.html" onMouseOver="document.images['img38'].src='widgets/gen_598.1.gif'" onMouseOut="document.images['img38'].src='widgets/gen_597.1.gif'"><img src="widgets/gen_597.1.gif" alt="Life and Death" name="img38" border="0"></a><br>
                                                                        <a href="Surfing Toraja Pictures.html" onMouseOver="document.images['img7'].src='widgets/gen_600.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_599.1.gif'"><img src="widgets/gen_599.1.gif" alt="SURFING TORAJA" name="img7" border="0"></a><br>
                                                                        <a href="sulawesi special.html" onMouseOver="document.images['img67'].src='widgets/gen_602.1.gif'" onMouseOut="document.images['img67'].src='widgets/gen_601.1.gif'"><img src="widgets/gen_601.1.gif" alt="Sulawesi SPECIAL" name="img67" border="0"></a><br>
                                                                        <a href="indonesia tour.html" onMouseOver="document.images['img60'].src='widgets/gen_604.1.gif'" onMouseOut="document.images['img60'].src='widgets/gen_603.1.gif'"><img src="widgets/gen_603.1.gif" alt="INDONESIA Tour" name="img60" border="0"></a><br>
                                                                        <a href="toraja Coffee link.html" onMouseOver="document.images['img11'].src='widgets/gen_606.1.gif'" onMouseOut="document.images['img11'].src='widgets/gen_605.1.gif'"><img src="widgets/gen_605.1.gif" alt="COFFEE Plantation " name="img11" border="0"></a><br>
                                                                        <a href="Splash_Screen.html" onMouseOver="document.images['img15'].src='widgets/gen_608.1.gif'" onMouseOut="document.images['img15'].src='widgets/gen_607.1.gif'"><img src="widgets/gen_607.1.gif" alt="Home" name="img15" border="0"></a><br>
                                                                        
                                                                        <a href="mailto:tomasoa@truetoraja.com" onMouseOver="document.images['img_email'].src='widgets/gen_612.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_611.1.gif'"><img src="widgets/gen_611.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
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                                                                                <TR>
                                                                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top">
                                                                                                <!-- BOF: ./personal-templates/simple/business/form/html -->
<!-- BOF: ./personal-templates/simple/personal/form/html -->


<center><table border=0>
<tr><td>


<font face='Arial' size='+1' color='#000000'>

 RESERVATION

</font>


<br>
<SCRIPT LANGUAGE="JavaScript">
function validate(frm){
var i = 0;

for(i = 0; i < frm.field_103.length; i++)
if (frm.field_103[i].checked) break;
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for(i = 0; i < frm.field_104.length; i++)
if (frm.field_104[i].checked) break;
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if (frm.field_y_37.value=="") return error(frm.field_y_37);

if (frm.field_28.value=="") return error(frm.field_28);

if (frm.field_30.value=="") return error(frm.field_30);

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if (frm.field_32.value=="") return error(frm.field_32);

if (frm.field_33.value=="") return error(frm.field_33);

if (frm.field_34.value=="") return error(frm.field_34);

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return true;
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function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://64.147.105.2/studio/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value=" RESERVATION">
<input type="hidden" name="efrom" value="">
<input type="hidden" name="email" value="tomasoa@truetoraja.com">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="submit_url" value="onsubmit.html">
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<input type="hidden" name="order" value="103 104 d27 d37 28 29 30 31 32 33 34 35 36 85 d86 87 88 89 ">
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<table border=0 cellpedding=5 cellspacing=5>

<input type="hidden" name="name_103" value="Please RESERVED for TORAJA PRINCE Hotel">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Please RESERVED for TORAJA PRINCE Hotel

</font>


 <font color="red" size="-1">*</font></td><td>

<input type="radio" name="field_103" id="field_1031" value="Yes"><label for="field_1031">


<font face='Arial' size='2' color='#000000'>

Yes

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</label> <input type="radio" name="field_103" id="field_1032" value="No"><label for="field_1032">


<font face='Arial' size='2' color='#000000'>

No

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</label>


</td></tr>

<input type="hidden" name="name_104" value="Please RESERVED for BUMI JOHAR Hotel">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Please RESERVED for BUMI JOHAR Hotel

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<input type="radio" name="field_104" id="field_1041" value="Yes"><label for="field_1041">


<font face='Arial' size='2' color='#000000'>

Yes

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</label> <input type="radio" name="field_104" id="field_1042" value="No"><label for="field_1042">


<font face='Arial' size='2' color='#000000'>

No

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</label>


</td></tr>

<input type="hidden" name="name_27" value=" I WOULD LIKE TO MAKE A RESERVATION ; Check IN">
<tr><td>


<font face='Arial' size='2' color='#000000'>

 I WOULD LIKE TO MAKE A RESERVATION ; Check IN

</font>


 <font color="red" size="-1">*</font></td><td>


<select name="field_m_27" size="1">
<option>Jan<option>Feb<option>Mar
<option>Apr<option>May<option>Jun
<option>Jul<option>Aug<option>Sep
<option>Oct<option>Nov<option>Dec
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<select name="field_d_27" size="1">
<option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
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</td></tr>

<input type="hidden" name="name_37" value="Check OUT">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Check OUT

</font>


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<select name="field_m_37" size="1">
<option>Jan<option>Feb<option>Mar
<option>Apr<option>May<option>Jun
<option>Jul<option>Aug<option>Sep
<option>Oct<option>Nov<option>Dec
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<select name="field_d_37" size="1">
<option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
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<input type="hidden" name="name_28" value="Lenght of Stay:  Day(s) / Night(s)">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Lenght of Stay:  Day(s) / Night(s)

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_28" style="width:100%">


</td></tr>

<input type="hidden" name="name_29" value="Total Traveling with me; Adult(s) / Children">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Total Traveling with me; Adult(s) / Children

</font>


 </td><td>


<input type="text" name="field_29" style="width:100%">


</td></tr>

<input type="hidden" name="name_30" value="Please Reserve for TYPE OF ROOM:  Single Room / Double Room /  Junior Suite">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Please Reserve for TYPE OF ROOM:  Single Room / Double Room /  Junior Suite

</font>


 <font color="red" size="-1">*</font></td><td>


<textarea name="field_30" rows="4" cols="30"></textarea>

</td></tr>

<input type="hidden" name="name_31" value="FULL NAME : Mr. or Ms.">
<tr><td>


<font face='Arial' size='2' color='#000000'>

FULL NAME : Mr. or Ms.

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_31" style="width:100%">


</td></tr>

<input type="hidden" name="name_32" value="E-MAIL ADDRESS :">
<tr><td>


<font face='Arial' size='2' color='#000000'>

E-MAIL ADDRESS :

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_32" style="width:100%">


</td></tr>

<input type="hidden" name="name_33" value="PHONE : Country + City CODE">
<tr><td>


<font face='Arial' size='2' color='#000000'>

PHONE : Country + City CODE

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_33" style="width:100%">


</td></tr>

<input type="hidden" name="name_34" value="FAX : Country + City CODE">
<tr><td>


<font face='Arial' size='2' color='#000000'>

FAX : Country + City CODE

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_34" style="width:100%">


</td></tr>

<input type="hidden" name="name_35" value="MAILING ADDRESS : 	">
<tr><td>


<font face='Arial' size='2' color='#000000'>

MAILING ADDRESS : 	

</font>


 <font color="red" size="-1">*</font></td><td>


<textarea name="field_35" rows="4" cols="30"></textarea>

</td></tr>

<input type="hidden" name="name_36" value="REMARKS : ">
<tr><td>


<font face='Arial' size='2' color='#000000'>

REMARKS : 

</font>


 </td><td>


<textarea name="field_36" rows="4" cols="30"></textarea>

</td></tr>

<input type="hidden" name="name_85" value="Meal Preferances: FULL Meal, or Breakfast Only (FREE/Included)">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Meal Preferances: FULL Meal, or Breakfast Only (FREE/Included)

</font>


 </td><td>


<input type="text" name="field_85" style="width:100%">


</td></tr>

<input type="hidden" name="name_86" value="SPECIAL TOUR Arrangement (Please Specify if Needed)">
<tr><td>


<font face='Arial' size='2' color='#000000'>

SPECIAL TOUR Arrangement (Please Specify if Needed)

</font>


 </td><td>


<select name="field_m_86" size="1">
<option>Jan<option>Feb<option>Mar
<option>Apr<option>May<option>Jun
<option>Jul<option>Aug<option>Sep
<option>Oct<option>Nov<option>Dec
</select>
<select name="field_d_86" size="1">
<option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
</select>
<input type="text" name="field_y_86" size="4" maxsize="4">

</td></tr>

<input type="hidden" name="name_87" value="Remarks ON TOUR (Destination and Local Guide (if needed)">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Remarks ON TOUR (Destination and Local Guide (if needed)

</font>


 </td><td>


<textarea name="field_87" rows="4" cols="30"></textarea>

</td></tr>

<input type="hidden" name="name_88" value="Do you want us to contact you Personally for more Info?">
<tr><td>


<font face='Arial' size='2' color='#000000'>

Do you want us to contact you Personally for more Info?

</font>


 </td><td>

<input type="radio" name="field_88" id="field_881" value="Yes"><label for="field_881">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


</label> <input type="radio" name="field_88" id="field_882" value="No"><label for="field_882">


<font face='Arial' size='2' color='#000000'>

No

</font>


</label>


</td></tr>

<input type="hidden" name="name_89" value="">
<tr><td>


<font face='Arial' size='2' color='#000000'>


</font>


 </td><td>


</td></tr>

<tr><td colspan=2 align=center>
    <input onClick="return validate(form)" type="submit" value="Submit">
    <input type="reset"  value="Reset">
    </td>
</tr>
</table>
</form>
</td></tr></table></center>
<!-- EOF: ./personal-templates/simple/personal/form/html -->

<!-- EOF: ./personal-templates/simple/business/form/html -->
<br>

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Flashsplash</A>|</nobr>

<nobr>|<a href="welcome.html">Welcome</A>|</nobr>

<nobr>|<a href="catalog.0.html">Toraja Prince Hotel</A>|</nobr>

<nobr>|<a href="profile.html">Bumi Johar Hotel Jakarta</A>|</nobr>

<nobr>|<a href="Your Bumi Johar Home.html">Your Bumi Johar Home</A>|</nobr>

<nobr>|Hotel RESERVATION|</nobr>

<nobr>|<a href="City of Jakarta.html">City of JAKARTA</A>|</nobr>

<nobr>|<a href="Life and Death.html">Life and Death</A>|</nobr>

<nobr>|<a href="Surfing Toraja Pictures.html">SURFING TORAJA</A>|</nobr>

<nobr>|<a href="sulawesi special.html">Sulawesi SPECIAL</A>|</nobr>

<nobr>|<a href="indonesia tour.html">INDONESIA Tour</A>|</nobr>

<nobr>|<a href="toraja Coffee link.html">COFFEE Plantation </A>|</nobr>

<nobr>|<a href="Splash_Screen.html">Home</A>|</nobr>
</center>
</font>

<br>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
</TD>
                                                                                </TR>
                                                                        </TABLE>
                                                                </TD>
                                                        </TR>
                                                </TABLE>                
                                        </td>
                                        <TD WIDTH=6 HEIGHT=100% background="widgets/gen_588.1.gif">
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=6 HEIGHT=1></TD>
                                </tr>
                        </TABLE>
                </td>
        </tr>
<!-- End Menu-->

<!-- Begin Last-->
        
<!--End Last-->
</table>
<!-- EOF: ./personal-templates/simple/business/layout/l28.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->