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For further inquiry & reservation, please fill-in the form
below:
Personal Information
I would like to:
make a booking
request more information
*
Title
Mr.
Ms.
*
First Name:
*
Family Name :
*
E-mail:
*
Address:
City:
State:
Post Code:
Country:
Phone:
Fax:
*) required
Reservation Detail
Check-in Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Flight No:
Time:
Check-out Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Flight No:
Time:
Option :
Daily
Long Time Stay
Room Type:
Single Room
Double Room
Extra bed required:
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) 245 505
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.
Type of Credit Card:
VISA
AMEX
Master Card
Card Holder's Name:
Credit Card Number:
Exp Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
BATU JIMBAR STUDIOS
& APARTMENTS
batujimbar@balibagus.com
Jl. Danau Tamblingan 83A, Sanur
B A LI
Copyright ©
Batujimbar Studios
& Apartments 2005. All rights reserved.
Designed and Maintained by
BaliBagus.com
.