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Mini Bar Items Consumed - Please complete prior to check out

Your Room Number and Family Name

How many Chocamama Chocolates did you consume $5.95 each

How many Chocamama Chocolates did you consume $5.95 each
A
B

How many Chocomama Lollies did you consume $5.95 each

How many Chocomama Lollies did you consume $5.95 each
A

How many Chocomama Cocktail Nut Mix did you consume $7.95 each

How many Chocomama Cocktail Nut Mix did you consume $7.95 each
A

How many Chips did you consume $4.95 each

How many Chips did you consume $4.95 each
A
B

How many Instant Noodle Bowls did you consume $4.50 each

How many Instant Noodle Bowls did you consume $4.50 each
A

How many Carman's Muesli Bar did you consume $2.50 each

How many Carman's Muesli Bar did you consume $2.50 each
A

How many Cookies did you consume $5.00 each

How many Cookies did you consume $5.00 each
A

How many Cheese & Crackers did you consume $5.00 each

How many Cheese & Crackers did you consume $5.00 each
A

How many Bottled Water did you consume $3.00 each

How many Bottled Water did you consume $3.00 each
A
B

How many Soft Drink did you consume $4.00 each

How many Soft Drink did you consume $4.00 each
A
B

How many Brewery Beer did you consume $8.50 each

How many Brewery Beer did you consume $8.50 each
A
B

How many White Wine 750ml did you consume $35.00 each

How many White Wine 750ml did you consume $35.00 each
A

How many Red Wine 750ml did you consume $40.00 each

How many Red Wine 750ml did you consume $40.00 each
A
The Total amount to be added to your room account is $