Lis Bali Tours and Travel| Reservation Form

THE REAL TOURIST PARADISE ISLAND

BOOKING FORM
Please fill in this form to inquire about our services.

Name:
Email:
	Make sure that your email address is correct; it usually has the form: *username@domain* (e.g. bali@indo.com). One missing '.' means one missing email.
Tel:
Fax:
Mailing Address:

HOTEL RESERVATION
Arrival Date:
Flight No:
Departure Date:
Flight No:
Length of stay in Bali:	days / nights
Number of Persons:
Rooming preference:
Type of Environment:
Preferred Area of Stay in Bali:
Hotel price range in US Dollar:

TOURS
Tour Code Interested	Only if you have already been sure with the Tour Code, otherwise please enter below:
Tour Area:
Bali Lombok Java Sulawesi	Sumatra Maluku Irian Jaya Others, please specify
Subject of Interest:
City Tour Sea Activities Land Activities	Overland Packages Golf Others, please specify
Note:

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For further information, please contact:

LIS BALI TOURS AND TRAVEL
Cottage Arcade - The Grand Bali Beach Hotel, Sanur - Bali
Indonesia (South East Asia)
Phone: (62-361) 282182, 288511 Ext. 1356 * Fax: (62-361) 285528
Email: lisbali@indo.net.id

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