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Reservation Form For Paypal

Personal Information
I would like to:
make a booking
  request more information
*First Name:
*Last Name:
*E-mail:
City:
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Reservation Detail
Check-in Date:
Flight No:
Time:
Check-out Date:
Flight No:
Time:
   
Room Type:
Number of room(s):
Extra bed required:
Yes No
Pick Up Services:
Yes No
Comments:

Verification code:
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Payment Method :
  1. Payment should be made prior to departure, either by Indonesian Rupiah or US Dollar based on the current exchange rates.
  2. Payment by credit card, Visa Card, Master card will be add 3%.
  3. Cancellation less than 24 hours before arrival will be charge 1night's stay.
  
  
   
   
 
 
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PUTRI AYU COTTAGES
Bisma Street, Ubud, Gianyar 80571
Bali - Indonesia
Tel : (62-361) 972590
Fax : (62-361) 972591
Email : info@putriayucottages.com

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