Booking &  Reservation Form:

For reservations and request please fill out, no credit card details are necessary at this moment !
  

Name:  *
E-Mail Address :  *
re-type Your E-Mail Address

Hotel Reservation: 

I would like to : *
Arrival date : (Day/Month/Year)  
Arrival time : local Bali Time
Flight No. :      Airline :
Require airport transfer? : Yes        No
Name of the Hotel : *
Hotel or Tourist Area :
Room Type : *
How many room(s) : *
Require Extra Bed : Yes No
Require Breakfast : Yes No   (if it is not include)
Check in date : (Day/Month/Year)*  
Check out date : (Day/Month/Year)*  
How many Nights ? : 
How many adult per room : *
How many children per room :
Special Request :
 
Tour & Sightseeing Reservation:  Please click here
 
   

 Details of Identity:

Salutation : Mr.     Mrs. 
Family Name : *
Given Name : *
Date of Birth : (dd/mm/yy)
Nationality :
Address : *
City : *
State : *
Zip Code : *
Country : *
Office Phone :    Fax :
Home Phone :    Fax :
Mobile Phone :
Comments / Request :
 

  * = necessary informations 

   

Please note: when You press the "Send Button"
that You agree with the TERMS & CONDITIONS
 

   

After You send this Form we will inform You  - soon as possible -  
if Your requested Hotel (or Tour Program) is available.
(please allow us 48 hours to proced your request.)

Please Note that we do not hold any reservation for You until we have a full or deposit payment.

Bali-Tropical.com  by:  Bali Holiday Travel Service. Jl. Danau Beratan No.20 80227 Sanur  Bali - Indonesia - E-Mail: info@balitropical.com
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