Reservation Form Kali in Bali

Guest Information

Number of Guest*:

Adult*:

Child*:

First Name (Guest 1)*

Last Name (Guest 1)*

Date of Birth*

Passport No.*

First Name (Guest 2)

Last Name (Guest 2)

Date of Birth

Passport No.

First Name (Guest 3)

Last Name (Guest 3)

Date of Birth

Passport No.

Reservation Details

Check-In Date*

Check Out Date*

Bed Configuration*

Extra Bed (exc. Superior Garden)*

Number of rooms requested:

Superior Garden View IDR 977.500

Deluxe Garden View IDR 1.190.000

Deluxe Sea View IDR 1.402.500

Deluxe Beach Front IDR 1.615.000

Special Request Arrangement:

Airport Transfer Transportation*

Arrival Flight Details

Departure Flight Details

*Percar/way: *Innova; 1 – 3 pax with luggage, *HiAce; 4 – 6 pax with luggage

Guest Contact

Name of Guest*:

Email*:

Nationality*:

Mobile phone number*: