Bali Segara Hotel - Reservation


 CONTACT INFORMATION
Full Name*
(as on passport)
: Mr Miss
Passport Number* :  Exp. Date D/M/Y
Email Address* : 1st  2nd
Phone Number*
(country + area code)
: country / area / phone no.
Country* :
 
 ROOM INFORMATION
Room Type* :
No. of Room(s)* : Double Bed    Twin Bed
No. of Guest(s)* : Adult(s)   Children(s)
Length of Stay* : nights
Check-in Date* :    
Check-out Date* :    
 
 AIRPORT TRANSFER DETAILS
Arrival Transfer * : No, Thanks!
Yes, please arrange airport to hotel transfer!
Arrival Time : (HH:MM)
Flight Number :   Airline

Departure Transfer * : No, Thanks!
Yes, please arrange hotel to airport transfer!
Departure Time : (HH:MM)
Flight Number :   Airline
 
 ADDITIONAL INFORMATION
Remarks :
Note: * denotes required information
 
 
Bali Segara Hotel JL. Dewi Sartika Gg. Nusa Indah No.9, Kuta 80361, Bali - Indonesia
Phone :62-361-753525 / 62-361-752830 | Fax :62-361-758549
email : blsegara@indo.net.id | info@balisegarahotel.com
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