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Personal Information
   
I would like to:
*Title:
*First Name:
*Family Name:
*E-mail:
Mailing Address:
City:
State:
Postal Code:
Country:
Phone:
Fax:
*) required
 

Reservation Detail
   
Check-in Date:
Flight No:
Time:
Check-out Date:
Flight No:
Time:
Tour Package(s):
 
Spa:
 
Restaurant:
 
Other Services:
Service Details:

Hotel Request
   
Hotel Area:
Hotel Name:
Bed:
How Many Room:
Need extra bed ?:
Yes No
Comments:

Payment Method
   
For Credit Card Payment, your reservation request can only be processed once we receive your credit card details. You may either include these details on this form or, if you prefer to send them by fax, you should submit this Internet / email reservation form first (without your credit details) and then fax to +62 (361) 756 854 the credit card details using this form within 24 hours. Please only use the fax form provided by printing the credit card section of this form.
Travel Cheque Credit Card Cash
Type of Credit Card:
Card Holder's Name:
Credit Card Number:
Exp Date:
   
   
 

For further information please contact:

Natourin Travel
AlamKulKul Boutique Resort
Jalan Pantai Kuta, Legian, Bali - Indonesia
Tel. (62-361) 756854, 752520
Fax. (62-361) 756854, 752519
Email:info@natourintravel.com

 

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