LA'VIE -RESERVATION FOAM

RESERVATION FOAM

Internet Booking
Fill up the form thoroughly, submit to us.

Automatic reply
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Receiving booking confirmation

If you don’t receive any reply from us in next couple of days, please check your phone/pc status (as not blocked) before you contact us.

* mandatory. Please make sure to fill up.

BASIC INFORMATION

Guest name*: 　
Sex*: Female 　　 Male
E-mail address*: ※Please check your mail address has set as‘accept receiving’ before you send us.
Phone#: Home

Mobile
Your nationality
Name of hotel*: ↓Hotel located area ( if you know )
　
Hotel phone #

RESERVATION DETAIL

Requesting treatment*: 　
Requesting date & time*: First request
month 　 day 　

Second request
month 　 day　
※Please note that the internet access in Bali is not stable. Please make booking in advance.
Companion*: Do you have any guests accompany with you?

Yes 　　 No
If 'Yes' , following please also input .
Companion detail: Accompany guest name(1)

Requesting treatment

Accompany guest name(2)

Requesting treatment

Accompany guest name(3)

Requesting treatment

※Please fill in the companion name and requesting treatment the remarks If your companion is more than 3 people .
Transport: Yes 　　 No
Remarks

※ Tips for hotel pick-up time (including brief consulting before treatment)

※ FROM Jimbaran and Nusa Dua area: we will pick you up 30 minutes before your reservation.

※Free Transport (min 2 pax)
Jimbaran, Nusa Dua, Tanjung Benoa, ungasan only
For 1 pax extra charge of Rp. 150,000 will be added.

※ Please note that the internet access in Bali is not stable. Any bookings within 2 days from treatment, please contact us by phone.

ACCESS

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Jl.Kampus No.18L, Jimbaran, Bali, Indonesia: Phone：0361-8953489
FAX：0361-8953490; E-mail: reservation@lavie-bali.biz