Inquiry Form

Name:
Email:
Make sure that your email address is correct; it usually has the form: *username@domain* (e.g. bali@indo.com). One missing '.' means one missing email.
Phone:
Fax:
Number of people:
Traveling date:
Flight details:
Please mention your flight details for transfer to your hotel.

TOUR & ACCOMMODATION
Type of Tour:	G-Land Express Surfari East Sumbawa Surf Camp Lombok/Sumbawa Yacht Carter West Java Yacht Carter West Timor Yacht Carter
Other Tour Interested (please mention)


Hotel Price Range:
For your accommodation, please select one.

Mailing Address:

Note:

Home G-land Surfari Surf Camp Yacht Carter Special Info Tide Chart

For more information, please contact:

WANASARI WISATA
8B Kuta Beach St., Kuta - Bali - Indonesia
Phone: (62-361) 755588 * Fax: (62-361) 755690
Email: bobby@denpasar.wasantara.net.id