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RESERVATION FORM
( * field is required)
Please use "Reservation Form" below to send your booking details. Should you experience difficulties using this form, please send an email to
sales@villashambala.com
PERSONAL DATA
Name *
:
First
Last
Gender *
:
Male
Female
Address *
:
Phone *
:
Fax
:
E-mail *
:
(Secondary E-mail)
RESERVATION DETAILS
Type of Villa*
:
2 Bedroom Villa
1
2
3
Check-In *
:
Time:
Time
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00
Check-Out *
:
Time:
Time
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
Late Check-Out
:
No
Guaranteed till 18:00 with 50% of room rate
Number of Guests*
:
Adult :
0
1
2
3
4
5
6+
Children :
0
1
2
3
4
5
6+
Harbour Transfer
:
Return
Harbour to Villa
Villa to Harbour
No
Arrival Date
:
Flight :
Time :
Departure Date
:
Flight :
Time :
Questions or request
:
Security code
:
Villa Shambala - Oceanfront Villa, Nusa Lembongan, Bali
Sunset Road, Nusa Lembongan, Bali - Indonesia Email:
sales@villashambala.com
