KM Bidadari Booking form & Terms and Conditions
Full Name:
Address:
City:
State/Province
postal code:
Passport nbr:
Exp.
Country of issue
Date of birth:
Nationality:
Phone number:
mobile phone
Email:
Bali Contact info
Arrival date:dd/mm/yy
Flight info:
Arrival time:
Address:
Contact phone:
Bali hotel
Hotel request
Preferred location:
Hotel name:
Number of nights:
Number of rooms:
Room type:
Trip data
Trip ID:
dep date:dd/mm/yy
rtn date:dd/mm/yy
Special dietary rq:
Dive rental equipment and service requests (advance notice required)
Name
Experience/
certification
BCD
(S,M,L,)
Reg
yes/no
Mask
Fins
(Size)
W
et suit
(S,M,L)
Nitrox
request
Comments/ requests:
Where did you hear about us?
Please read
KM Bidadari Cruises
General
Terms and Conditions
which applies to all
passengers reserved and confirmed with KM Bidadari Cruises.
By submission of this document I fully understand and agree to the KM Bidadari Cruises Terms and Conditions stated .
KM Bidadari Cruises
PT. Citrakarsa Inti Samudra
JL Dermaga 1, Pelabuhan Benoa
Denpasar, Benoa 80222 Bali Indonesia
Ph. 62-361-728-874
www.kmbidadari-cruises.com
Dive & Discover
Indonesia
Passenger data
