Activity Reservation Form

-	This is booking form for activity reservation, fill in form below and push "book now!" button
-	* field is required

* Title

* Name

first name last name

* E-mail

1st e-mail 2nd e-mail

* Passport number

(eg:TE111111)

Flight information

[1] Arrival date
flight number (eg: JL729)
year month date hour time

[2] Departure date
flight number (eg: JL729)
year month date hour time

special information (transit place, etc)

E-mail mobile phone [for urgent]

* When is a last time to check e-mail before departure.

computer HP
month day hour (in your time)

* Activity reservation

[ Activity form ]

Code activities

(If there is no code, empty is accepted)

Activity name

1st request

date	: year month date

time	: hour minute

pax	:

hotel stay	:

transfer	: transfer conditon is different depends on each activity. Please check before that transfer is included and your stay area is in applicated area or not. If you required additional transfer, extra charge is required. click here!

booking details

special request

[If you do not book the hotel with us please fill out below form completely]

Hotel stay

(when having this activity)

check-in	year month date
check-out	year month date

Your name on hotel reservation

Reservation no.

(If there is no code, empty is accepted)

Name of agent

* Payment

Please see our payment agreement .
(we can not receive USD50, 100 under the year 1996)

How to pay
How to receive change		Please fill in if you require change

The credit card fee is different depends on each hotels. fee % above is our condition.

remarks

I agree your terms & conditions

If you have not received any reply from us within 2-3 days, please check that you have the correct e-mail address or use this form again.
Alternatively, send us an e-mail throufh support@bali-tours.com using "Reservation From" as the subject with the above mentined contents.