Direct Reservation
Email Address :
* I would like to :
* Room Type :
Require Airport transfer?: Yes No
* Number room(s) :
* Arrival date :
Arrival Flight Details :
* Departure date :
Departure Flight Details :
* Number of Pax(s) :

Details of Identity

* Name :
Date of Birth :
Nationality :
Passport No. :
* Address :
* City :
* State :
* Zip Code :
* Country :
Office Phone :    Fax :
* Home Phone :    Fax :
Mobile Phone :
Special Request :
Note; (*) Required

Important : Reservation will be proceed only if either one of these forms has been filled in completely.
Payment Confirmation (By internet/email)
For the need of Payment Confirmation, you have to send your credit card details to us. You may transfer your credit card details either by internet or facsimile.

 
 
Jl. Imam Bonjol No 45 Denpasar-Bali PO. BOX. 3516
Phone : (361) 485254 485255 - 485256 - 484445
Fax : (361) 484724
E-mail : tamansuci@tamansuci.com