Suar Tours Bali - Reservation Form.

RESERVATION FORM

For further inquiry & reservation, please fill-in the form below and submit to us!

• For Bali Beyond, you can request for other destinations in Indonesia.
• Besides Tour Packages reservation, you can request hotel reservation by
informing us the hotel name and details. Please fill in the Hotel Request section.

PERSONAL INFORMATION
First Name *	Last Name *
Email Address *	Street Address *
City *	State/Prov *	Zip Code *
Country *	Phone *	Fax

TOURS REQUEST
Type of request: *
Check-In Date: *	Flight No: Time:
	dd/mm/yy	local/dps
Check-Out Date: *	Flight No: Time:
Tour Packages : *
Other Destination for Bali Beyond:	please specify
Comments:

HOTEL REQUEST
Hotel Name:
Location:
How Many Room:
Room Type:
Beds:

PAYMENT METHOD

Credit Card Bank Transfer

For Credit Card Payment, your reservation request can only be processed once we receive your credit card details. You may either include these details on this form or, if you prefer to send them by fax, you should submit this Internet / email reservation form first (without your credit details) and then fax to 62361-462 636 the credit card details using this form within 24 hours. Please only use the fax form provided by printing the credit card section of this form.

* Required !