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)
Wet 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
vessel specs Destinations & Itineraries
Dive & Discover
Indonesia
 
 
Passenger data