Bali Prana Dewi Resort - Booking Request

HOME BUNGALOWS INTERIOR RESTAURANT AREA YOGA LOCATION RATES BOOKING

Your Health Mountain Resort in Bali

Please use this form to send a booking request to Bali Prana Dewi Resort

Personal Details

Please choose your desired accommodation type:

NAME:

E-MAIL:

STREET & NUMBER:

TOWN & POSTAL CODE:

COUNTRY:

PHONE / FAX NO.:

NATIONALITY:

ACCOMMODATION:

Yoga course:

DATE OF ARRIVAL:
/ / (MM/DD/YYYY)
DATE OF DEPARTURE:
/ / (MM/DD/YYYY)

AIRPORT TRANSFER
arrival
departure

-> If you don't have the flight information jet, you can give it later by e-mail, fax or phone. <-

For airport transfer we need your arrival flight number and local arrival time.
flight number
local time

Further requests:

Please let us know how you did hear about us:
(if search engine, please specify)

Please inform me about availability for the defined period.
I know this is only a BOOKING REQUEST. To become a valid booking it needs to be confirmed and reconfirmed.

Please make sure that you have filled in all red colored fields.
or