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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 |
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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 |
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Requested
Time |
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Programs
(Select below) |
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Diver
- 2 dives on day 1 - US$ 134.00/person
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Non
Diver - US$ 85.50/person
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*
Lembongan Dive is suitable for newly certified divers
or those with limited experience. |
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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
- Rates
subject to change without notice
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Lembongan
Overnight 2 Dive Payment and Cancellation Policy,
Read Carefully.
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- 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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Questions
or additional dive/accommodation requests |
