99Bali - Bali Golf Reservation Form

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Greetings from 99Bali International - Monday, 16:33 PM (Bali Time)

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Starting From: $ 184

GOLF RESERVATION FORM (1 of 3)

This is a secure Form. Please check your lock sign below.

RESERVATION STEPS

1. Fill out Reservation Form

2. Review Reservation

3. Reservation Complete (Thank You)

Email Address:

(required)

Retype Email Address:

(required)

Salutation:

First Name:

(required)

Last Name:

(required)

Company:

Address:

(required)

(exactly the same as your credit card billing address)

City:

(required)

State:

Zip: (required)

(exactly the same as your credit card billing address)

Country:

(required)

Phone:

		(required)
country code	area code	phone number

Fax:


country code	area code	phone number

Mobile/Cell Phone:

(used for SMS/emergency case)

Passport No.:

(required)

Please Enter Golf Reservation required, including # of player & non player participants.
You are welcome to enter up to 3 different dates or courses.
Activity should be later than 2012-05-28 (7 days prior reservation)

1st Activity Date:

(required)

Course :

(required)

Activity / Package:

(required)

Start Time:

(required)

# of Participants:

Player : , Non Player : (required)

2nd Activity Date:

(required)

Course :

(required)

Activity / Package:

(required)

Start Time:

# of Participants:

Player : , Non Player :

3rd Activity Date:

(required)

Course :

(required)

Activity / Package:

(required)

Start Time:

(required)

# of Participants:

Player : , Non Player :

Optional Reservation

Club Rental:

Premium, Regular

Shoes Rental:

Pair

Golf Bag:

Pcs

Golf Cart:

Yes No (for Bali Handara Kosaido)

Hotel / Pick Up point

Hotel Name :

(required)

Contact Phone Number in Bali:

Arrival Date :

(required)

Departure Date:

(required)

Require Transportation:

Yes No

to/from Kuta, Nusa Dua, Denpasar & Sanur area
US$ 40 / 6 hours including driver.
Not Available for Lombok Golf Kosaido Country Club

Special Request, please specify

Bank Issuance :

(required)

Bank Issuance Contact Phone No :
(you could find at the backpage of your card)

		(required)
country code	area code	phone number

Cardholder Name :

(required)

(as appeared on your card)

Card Type :

(required)

Credit Card no :

(required)

Credit Card Expired Date:

, (required)

C.V.V. No.:

(required)

VISA / MASTER CARD

AMEX

[American Express]

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HOT DEAL!

Conveniently located in Sanur, a well established family friendly resort area, the villa is just minutes from a large number of international standard restaurants, entertainment, great shopping and white sand beaches that stretch as far as the eye can see. Walkin distance to the beach and about 20 minutes from the Airport. It’s a good place to enjoy the delights of a tropical island.

• Price Only USD 1,295,000
Swimming Pool, Security, AC, Phone Line, Parking Area, Hot Water System, PDAM, Big Garden, 2 Family Room, Yard, 2 Storey, Garage, Storage, Veranda, Kitchen, Maidroom.

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