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Reservation Email

Titel

Mrs

Mr

Ms

Full name *

Email (AVOID TYPO) *

Phone number (optional)

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Where to collect you (hotel name and address) *

Date *

PICK-UP TIME (between 10:00 -17:00) * 10:0010:1510:3010:4511:0011:1511:3011:4512:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:00

Latest start of treatment at 17:30, operation until 20:00

How many people? *

1

2

3

4

more than 4 (kindly specify in the message box)

Treatment for person 1 select Bali Massage 1.5hrs/US$35 Bali Massage 2hrs/US$45 Hot Stone Massage 2hrs/US$50 Body Lulur 2hrs/US$60 Body Boreh Healing Pack 2hrs/US$70 Bali Spa Ritual 3hrs/US$75 Royal Shirodhara 3.5hrs/US$99 Package Classic 4hrs/US$195 for 2 (US$97.50 per person) Package Shirodhara 4.5hrs/US$225 for 2 (US$112.50 per person) Package Ayurveda 5hrs/US$290 for 2 (US$145 per person) Other treatment: Treatment for person 1

Treatment for person 2 select Bali Massage 1.5hr/US$35 Bali Massage 2hrs/US$45 Hot Stone Massage 2hrs/US$50 Body Lulur 2hrs/US$60 Body Boreh Healing Pack 2hrs/US$70 Bali Spa Ritual 3hrs/US$75 Royal Shirodhara 3.5hrs/US$99 Package Classic 4hrs/US$195 for 2 (US$97.50 per person) Package Shirodhara 4.5hrs/US$225 for 2 (US$112.50 per person) Package Ayurveda 5hrs/US$290 for 2 (US$145 per person) Other treatment: Treatment for person 2

Treatment for person 3 select Bali Massage 1.5hr/US$35 Bali Massage 2hrs/US$45 Hot Stone Massage 2hrs/US$50 Body Lulur 2hrs/US$60 Body Boreh Healing Pack 2hrs/US$70 Bali Spa Ritual 3hrs/US$75 Royal Shirodhara 3.5hrs/US$99 Package Classic 4hrs/US$195 for 2 (US$97.50 per person) Package Shirodhara 4.5hrs/US$225 for 2 (US$112.50 per person) Package Ayurveda 5hrs/US$290 for 2 (US$145 per person) Other treatment: Treatment for person 3

Treatment for person 4 select Bali Massage 1.5hr/US$35 Bali Massage 2hrs/US$45 Hot Stone Massage 2hrs/US$50 Body Lulur 2hrs/US$60 Body Boreh Healing Pack 2hrs/US$70 Bali Spa Ritual 3hrs/US$75 Royal Shirodhara 3.5hrs/US$99 Package Classic 4hrs/US$195 for 2 (US$97.50 per person) Package Shirodhara 4.5hrs/US$225 for 2 (US$112.50 per person) Package Ayurveda 5hrs/US$290 for 2 (US$145 per person) Other treatment: Treatment for person 4

By default you will get a shady semi-outdoor room, would you prefer an air-conditioned room?

Yes, we want an air-con room

By default 2 people get a twin room, would you prefer single rooms?

Yes, we want single rooms

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