Booking service request form
Submission of this form is not a proof of payment. Please fill in this form then submit, we will get back to you shortly with the link of payment through email. If you have any question, just fill in the message box at the end of this form. We will come back to you through Whatsapp or email.
Email address *
Full name *
Whatsapp number (start with + country code) *
Requested service check in *
MM
/
DD
/
YYYY
Requested service check out *
MM
/
DD
/
YYYY
Accomodation options *
Captionless Image
Swim lesson options *
Captionless Image
Cycling options *
Captionless Image
Road bike rent options *
We will require a deposit. You can see the full price list and the deposit through this link www.balitri.com/road-bike-cycling-hire
Running options *
Captionless Image
Airport transfer
Clear selection
Bike handling and packing and wash *
Captionless Image
Required
Motorbike hire *
Captionless Image
Car hire *
Captionless Image
Please drop us any questions here if you have doubt or things to ask. You also can contact balitrihomeandstudio@gmail.com or Whatsapp at +628112288200
When you submit this form, you will send this information to us and we will come back to you with a payment link if there is no question or things to clarify. It takes about 5-30 minutes in working day. We use Rupiah as our main currency. This form uses a security protection system provided by Google and a secure payment system developed by Midtrans. After you make the booking and payment please keep the proof/screen capture of your payment. Any cancellation H-10 is guaranteed 100% refund.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy