DIRECT BILLING APPLICATION FORM

We hereby apply for a direct billing with the following confidential information is submitted for this purpose
only:

COMPANY DETAILS
Company Name : _________________________________________________________
Address : _________________________________________________________
Telephone Number : ________________________ Fax Number: _____________________
Email Address : _________________________________________________________
Contact Person : ________________________ Position: ______________________
Type of Company : _________________________________________________________
Legal Entity Name : _________________________________________________________
Registration Number : ________________________ Date of Registration: _________________
Number of Employees : _________________________________________________________
Company Activities : _________________________________________________________
Auditor : _________________________________________________________
Auditor's contact address : _________________________________________________________

DIRECTORS
Name : _______________________________________________________________________
Address : _______________________________________________________________________

Name : _______________________________________________________________________
Address : _______________________________________________________________________

FINANCIAL DATA
Name of Bank : _________________________________ Account#: _______________________
Name of Bank : _________________________________ Account#: _______________________

SHERATON MUSTIKA YOGYAKARTA

RESORT & SPA
Jl. Laksda Adisucipto KM 8,7
55282, Yogyakarta, Indonesia
T 62 274 488 588
F 62 274 484 589
sheraton.com/yogyakarta
 CREDIT REFERENCES – with other hotels in Yogyakarta, Indonesia
1. __________________________________ Contact: ______________ Phone#:______________
2. __________________________________ Contact: ______________ Phone#:______________
3. __________________________________ Contact: ______________ Phone#:______________
4. __________________________________ Contact: ______________ Phone#: ____________

CREDIT LIMIT REQUESTED USD/IDR: ________________________

DECLARATION
We declare the above information to be true, correct and to form the basis of any contract agreement
between ourselves and Sheraton Mustika Yogyakarta Resort & Spa.

We understand that in accepting credit facilities from Sheraton Mustika Yogyakarta Resort & Spa, we undertake
to:

a. Pay invoices within 30 days from the date of guest check out in full amount, without any bank charges
deduction.
b. Any queries or dispute of the invoice shall be made in writing/email within 5 working days of receipt.
c. Accept the hotel’s decision to suspend or to withdraw this facility at their discretion any time.
d. Any late payment will be subjected to 1.5% interest per month.

REMARKS
Please enclose the following documents to facilitate processing of your credit application:
a) Copy of Business Registration Certification
b) Copy of last pages of Company Bank Account Statement in the last 3 months
c) Copy of tax ID
d) Copy of lates audited report

Authorized Signature : ________________________ Date: ____________________________

Print Name: _________________________________ Position: ________________________

SHERATON MUSTIKA YOGYAKARTA

RESORT & SPA
Jl. Laksda Adisucipto KM 8,7
55282, Yogyakarta, Indonesia
T 62 274 488 588
F 62 274 484 589
sheraton.com/yogyakarta
 FOR OFFICE USE ONLY

Recommended by: ______________________________________

______________________________________
_____________________________________

Sales Manager

Checked & Reviewed by:

Credit Manager Approved Limit: __________________________

Approved by:

Financial Controller

Approved by:

General Manager

SHERATON MUSTIKA YOGYAKARTA

RESORT & SPA
Jl. Laksda Adisucipto KM 8,7
55282, Yogyakarta, Indonesia
T 62 274 488 588
F 62 274 484 589
sheraton.com/yogyakarta