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Please
fill in all fields
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*First
Name-
required
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*Last
Name- required
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*Email-
required
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Accommodation in Bali
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Hotel
or Villa Name |
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leave blank if unknown |
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Hotel
Area |
( ie. Kuta, Nusa Dua ) |
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Room
No |
-
if already check-in and known |
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Arrival
Date |
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If
not currently in Bali please provide |
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Telephone
(with area code)
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Fax
(with area code)
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Safaris
Information |
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Requested
Date |
Must
be Sun, Mon, Wed & Fri.
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Requested
Time |
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Tour |
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Information
for any others joining Jungle Trek |
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No.
People |
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Name |
Age:
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Name |
Age:
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Name |
Age:
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Name |
Age:
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How
did you learn about BaliSafaris.com ?
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- Notes:
- Rate
Inclusive of 21 % Gov't Tax & Service Charge.
No Hidden Charges
- All
reservations subject to availability
- Reservation
not confirmed without Booking Confirmation Code
- Rate
subject to change without notice
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-
Jungle
Trek Payment and Cancellation Policy,
Read Carefully.
-
- Payment must be guaranteed by credit card to
confirm reservation.
- Cancellation less than 24 hours prior to tour
departure or no show, no refund.
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Comments,
questions or special requests |
