Booking form waka namya ubud bali resort

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Waka Namya - Ubud Bali Resort

RESERVATION FORM FOR WAKA NAMYA BALI RESORT AND SPA
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Room Information Request
* Hotel Name :
* Room Type :
* Total Room :
* Check In :
*Check Out :
* Airport Pick Up :	Charged Rp 175,000
* Flight No :
* Flight time :
Guest Details Information
* Salutation :
* Name :
* Total Adult :
Total Children :
Date of Birth :
* E-mail address :
* Street Address :
* City :
* State :
* Country :
* Zip Code :
* Phone :
* Facsimile :
Passport No :
Additional Comment :	-

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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