Puri Padi Ubud Reservation Form

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Check in date  January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 201020112012 Arrival flight #  Check out date  January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 201020112012 Depart flight #  Airport transfer  No, I do not require any transport to hotel.   Yes, please arrange transport to hotel at US$ 45.00 /way/car (max. 2 person). Additional US$ 5.00 surcharge apply for arrival flight after 08.00 PM

Desired Room Accommodation

No. Adults - required No. children: Child(ren) age(s): No. Rooms - required Room requested ROH Preferred bed type Double (King or Queen) Twin  (2 single beds)

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Notes:   All Rates Inclusive of 21 % Gov't Tax & Service Charge. No Hidden Charges All reservations subject to room availability Reservation not confirmed without Booking Confirmation Code Rates subject to change without notice   Hotel Cancellation Policy; Puri Padi Ubud will charge:   One night's stay for no show or cancellation notice given less than 7 days prior to scheduled arrival One night's stay for cancellation notice given less than 21 days prior to scheduled arrival during peak season     Comments, requests, questions

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