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Personal Information
I would like to:
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request more information
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Reservation Detail
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Flight No:
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Check-out Date:
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Flight No:
Time:
Tour Package(s):
Please select tour packages
Adventure
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Dances
Golf
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Lombok
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Yogya
Spa:
Please select spa packages
Restaurant:
Please select restaurant
Kerobokan
Kuta
Legian
Seminyak
Tegallalang
Ubud
Other Services:
Please select service
Limousine Service
Airport Transfer
Dinner or Tansport Only
Service Details:
Hotel Request
Hotel Area:
Please Select Hotels Area
Jimbaran
Kuta
Lovina
Nusa Dua
Sanur
Ubud
Hotel Name:
Bed:
- - -
Single
Double
Twin
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:
- - -
VISA
AMEX
Master Card
JCB
Card Holder's Name:
Credit Card Number:
Exp Date:
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Feb
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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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