|
Please
fill in all fields
|
|
|
| |
*First
Name-
required
|
|
| |
*Last
Name- required
|
|
| |
*Email-
required |
|
| |
|
|
| |
Accommodation in Bali
|
| |
Hotel
or Villa Name |
-
leave blank if unknown |
| |
Hotel
Area |
( ie. Kuta, Nusa Dua ) |
| |
Room
No |
-
if already check-in and known |
| |
Arrival
Date |
|
| |
|
| |
If
not currently in Bali please provide |
| |
Telephone
(with area code)
|
|
| |
Fax
(with area code)
|
|
| |
|
|
| |
Safaris
Information |
|
| |
Requested
Date |
|
| |
Requested
Time |
|
| |
Programs
(Select below) |
|
Tulamben
Day Trip - US$ 71.00/person
|
|
Tulamben
non diving companion - US$ 35.00/person
|
|
Tepekong
Day Trip - US$ 80.00/person
|
|
Tepekong
non diving companion - US$ 35.00/person
|
|
| |
|
|
| |
|
| |
*
Tulamben Dive is suitable for almost any certified divers. |
| |
How
did you learn about BaliSafaris.com ?
|
|
| |
|
| |
- 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
- Rates
subject to change without notice
-
-
Tulamben
Day Trip 2 Dive 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.
|
| |
Questions
or additional dive/accommodation requests |
