4D3N Bali Air-ticket + Hotel Package
RESERVATION FORM
PERSONAL INFORMATION
IMPORTANT!!
Pls make sure that it is the name shown on your passport
.
(
*
) is a compulsory field.
1st Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
2nd Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
3rd Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
4th Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
IMPORTANT!!
Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
*
( Correspondence E-mail address)
E-mail Address :
( Second E-mail address, if any )
Fax No:
Telephone No in Hongkong:
(if you would like to be called locally)
Company Name (if applicable) :
Correspondence Address :
Nationality :
*
RESERVATION DETAILS
1st choice of hotel :
Pls select
Bali Gardenia Resort
Bali Holiday Resort
Putri Bali
Grand Bali Beach
Harris Resort
Ramada Resort Benoa
Mercure
Melia Bali
2nd choice of hotel :
Pls select
Bali Gardenia Resort
Bali Holiday Resort
Putri Bali
Grand Bali Beach
Harris Resort
Ramada Resort Benoa
Mercure
Melia Bali
Types of Rooms Required:
Please Select
Single
Twin
Triple
Number of Rooms Required:
1
2
3
4
5
6
Number of Adults occupying room :
Number of Children ( if any ) :
0
1
2
3
4
5
Age of Children :
Date of Check In :
Date of Check Out:
Kindly furnish guest names if more than 4 Passengers
Special Request :
TRAVEL INSURANCE
Do you need travel insurance? :
Please select
Yes
No
Please let us know from where you get to know our site:
Please select one of the followings:
From search engine directly to our site
From search engine to Asia Travel
From other web site
From printed media
From friend's recommendation
If you encounter any returned e-mail OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at e-mail address:
janet@asiatravel.com
or call us at 2724-6835 Attn: Janet
At your services always !
Home Page