RESERVATION FORM

Please read our Terms and Conditions carefully before filling in form below. You must agree with our terms and conditions to continue making reservation.

Please fill correctly!
PERSONAL DATA
Title *
Surname *
First/Given Name *
The first E-mail *
The second E-mail *
Passport No. *
Home Address *
City
Country  
Postal / Zip Code  
Telephone No. (country code-area code-number)
Fax No. (country code-area code-number)
Birth Date Month Day Year
 
GROUP / INDIVIDUAL ITINERARY
Persons traveling in group Adult (s) Child(ren) (age 12 or under)
Name of the Persons traveling
(Persons under 12 are classified as children. Please state the age of each child as shown in example)
 
Arrival Date Month Day  Year *
Arrival Flight and Time *(Eg: :GA883) Hour Min*
Departure Date Month Day  Year *  
Departure Flight and Time *(Eg: :GA883) Hour Min*
 
HOTEL RESERVATION (For reservation of hotels or hotel packages only)
Hotel Name * 
Room Type Bed Type  *
Length of Stay nights  days
Check In - Out Date *Check In (mm/dd/yy) *Check Out (mm/dd/yy)
Persons in a Room *person(s) Extra Bed required?
Late Check Out  
Transfer to Hotel * Transfer Fee, click here
Transfer to Airport * Transfer Fee, click here
Invitation Code * If you get from our Newsletter!
Hotel Package Code (if any) Smoking Preference
Additional Information
(Please write again in the same format if you wish to stay in different hotels during your visit)
 
NON-HOTEL RESERVATION ( For non-hotel activities : spa, golf, tours, diving, marine sport, cruise, dinner, etc )
Desired tour or activity name * Code (if any)   
Preferred activity date Month Day  Year *
Start time Hour  Min *
No. of participants * person(s) 
Hotel name/Pick up Place * 
Additional Information
(Please write again in the same format if you wish take other activities)
  
 ADDITIONAL INFORMATION
Method of Payment * --> Do you require a change?
(Sorry for not receiving USD 50s, USD 100s under the year 1996)
Please put in any questions, comments, or suggestions you might have regarding our services
  
Please inform us of Guide Speaking language
 Others (please specify) 
Please inform us of how you hear about bali-tours.com
Others (please specify) 
How often do you come to Bali?  
Use this form only for placing your order. For further information or inquiries, click here.
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the correct e-mail address or use this form again.

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with the above-mentioned contents.

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