Bali Dynasty

Bali Dynasty
Reservation Form

REQUIRED TO FILL

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.Hotel Name:

. Full Name:

. Email:

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. Arrival Date

Just click the calendar icon to choose the date.

. Flight Number

. Departure Date

Just click the calendar icon to choose the date.

. Flight Number

. Room Type

. Number of Rooms

TWB

DBL

TRP

TWB: two single bed in a room.
DBL: one king size bed in a room
TRP: could be accommodated for three people, usually by add another extra bed.

. Number of People

Adult

Children (under 12 y.o.)

Airport Transfer In

Yes No

Airport Transfer Out

Yes No

CONTACT DETAILS

. Phone/Handphone

Please give us include country and areal code

Street Address (line 1)

AMEX credit card payment should fill the billing address

Street Address (line 2)

City

. State/Province

. Country

OTHER / SPECIAL REQUEST

PLEASE NOTE:

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