Reservation Form E-mail Address : Bali - Hotel Name : Bali - Hotel Phone No.: Guest Name : Select Massage : - Choose one from list - ------------------------------------- Traditional Massage Shoulder Massage Foot Massage Body/Beauty Treatments : - Choose one from list - * Body Treatment * ------------------------------------- Honey Bath Milk Bath Herbal Bath Spice BathFruit Bath * Beauty Treatment * ------------------------------------- Facial Shaving Hair Wash Hair Wash and Blow Hair Cut Hair Coloring Spa Manicure Spa Pedicure Waxing Half Leg Waxing Full Leg Waxing Under Arm Waxing Bikini Select Package : - Choose one from list - ------------------------------------- Package I Package II Package III Package IV Package V Special Package Booking Date : 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November January February March April May June July August September October November December Booking Time : 9.00 9.15 9.30 9.45 10.00 10.15 10.30 10.45 11.00 11.15 11.30 11.45 12.00 12.15 12.30 12.45 13.00 13.15 13.30 13.45 14.00 14.15 14.30 14.45 15.00 15.15 15.30 15.45 16.00 16.15 16.30 16.45 17.00 17.15 17.30 17.45 18.00 18.15 18.30 18.45 19.00 19.15 19.30 Number of person(s) : Booking Details : Captcha :
