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Online Booking Form
Please use "Reservation Form" below to send your booking details. Should you experience difficulties using this form, please contact us details below.

Leisure Bali Villa
Jl.Raya Semat, Gg.Jalak X/1 Tibubeneng, Kuta utara 80361
Ph: +62 361 7937628 Fax: +62 361 8444723
E-mail: sales@leisurebalivilla.com

PERSONAL DATA
Name * : First Last
Gender * : Male Female
Address * :
Phone * :
Fax :
E-mail * :
    (Secondary E-mail)
RESERVATION DETAILS
Choose your villa* :
Check-In * : Time:
Check-Out * : Time:
Late Check-Out : No
Guaranteed till 18:00 with 50% of room rate
Number of Guests* : Adult : Children :
Harbour Transfer : Return Airport Tranfers
Airport to Villa
Villa to Airport
No
Arrival Date : Flight : Time :
Departure Date : Flight : Time :
Questions or request :
Security code :

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Jalan Raya Semat, Gang Jalak X/1 Tibubeneng, Kuta utara 80361 Indonesia | Ph: +62 361 7937628 Fax: +62 361 8444723
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