REQUEST FORM - INDO BALI HOTEL COM

If you have any special preferences or requests please fill out this request form below. Also feel free to email us at info@indobalihotel.com in English and we will get back to you as soon as possible.

Simply fill this form below and send your message to us

Type the name of your Hotel / Villa request (*)
Name (*)
Email Address (*) Please double check your e-mail carrefully
Country (*)
What is your estimated Arrival Date	What is your estimated Departure Date

# How many perosn of you
# of Children

Room Type
Room Category (Sgl/Dbl/Twin)
# of Rooms
Budget per night


Do you have any special requirements, comments or requests?

(*) Required