Bali On Bike - Booking Form

Salutation

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Full Name(*)
Please type your full name.

Email Address(*)
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Nationality
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Reservation

Tour Date(*)

Please select the date of our tour

Number of Adult(*)
For how many adult / person would you be?

Number of Children
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Children's Age
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Only children ages 7yrs old and upper allow to ride. Baby's seat is available for 6yrs old and under.

Comment / Special Request
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Hotel & Pick Up Information
Free pick up service for UBUD AREA only

Hotel Name(*)
Please insert your current residence / hotel / villa / bungalow etc.

Location
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Ex. Ubud, Sanur, Nusa Dua, Kuta, etc.

Hotel Phone No.
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Room Number/ ID
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Security Code(*)
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