Booking form for cahaya dewata ubud bali resort

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Term

Cahaya Dewata Ubud Bali Resort

RESERVATION FORM FOR CAHAYA DEWATA RESORT UBUD BALI
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DETAILS OF ROOM INQUIRY
Hotel Name	:
Room Type	:
Total Room	:
Check In	:
Check Out	:
Aiport Pick Up	:	Rp 175,000
Flight No	:
Flight Time	:
DETAILS OF IDENTITY
Salutation	:
Name	:
Total Adult	:
Total children	:
Date Of Birth	:
Email Address	:
Street Address	:
City	:
State	:
Country	:
Zip Code	:
Phone	:
Facsimile	:
Passport No	:
Additional Comments	:
IMPORTANT : Please note that by clicking the "Submit" button above, you agree and accept our Term and Condition PLEASE NOTE : No reservation/confirmation will be proceeded for incomplete booking procedures CV Bali Nara Amertha Jalan Imam Bonjol Gang Marlboro V no 19 Denpasar - Bali - Indonesia Phone : +62-812-383-2974 Fax : +62-361-485844 E-mail : support@balinara.com www.balinara.com

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