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BALI ACTIVITIES BOOKING FORM

Booking Details	:
I would like to	:
Date of Activities	:
Alternate Date of Activities	:
Activities	:
Alternate Activities	:	type here if not listed
Number of Person	:	Adult Children
Pick-up Service	:	Yes No
Payment	:	Cash Credit Card
Accommodation Details	:	Hotel/Villa Name Room No
		Hotel/Villa Phone Room Ext.
Other Request	:

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Phone:
+62 361 7428441
Mobile:
+62 81 337 350496
Facsimile:
+62 361 8450291
Email:
info@villasdebali.com

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