Villa Long Grain - Canggu, Bali - Booking/Inquiry Form

Villa Long Grain Private Residence is strategically located less than 10 minutes from the ultimate Golfing venue in Bali, Nirwana golf course in Tanah Lot. Relax, indulge and enjoy this wonderful piece of paradise

Please complete the form below to make new booking, revise or check villa availability. Please make sure that you type the correct E-mail address as well as phone and facsimile numbers. Upon receiving your information data we will process your booking request right away. A confirmation of chosen accommodation and a timetable will be forwarded to you for your approval.

Personal Details   Full Name: Mr. Mrs. Miss Other Address: City/Zip Code: State: Country: Telephone: Home Mobile Office Facsimile: Home Office E-mail: Booking Details   I would like to: Make new booking Check villa availability Request more information Select Villa: 4 Bedroom Villa Number of People: Adult: Children: Ages of Children: Check-in Date: Check-out Date: Total Number of Nights: Arrival Date: Flight Number: e.g. CX 785 (Cathay Pacific) Arrival Flight Time: e.g. 09 : 20 AM/PM Request Airport Transfer?: Yes No It's Free of Charge! Request Terms & Conditions?: Yes No Request Layout Plan?: Yes No Comments or Special request: Please Enter Security Code:

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For further information and bookings, please use the enquiry or booking related links above. For an urgent matters, you may contact the reservation office below: Attention: Lorita ANDRYAS, Mrs. Phone: +62-361 8444567 Facsimile: +62-361 8444528 Mobile: +62 81 139 8661 (International) E-mail: info@balicangguvillas.com Yahoo! Messenger: Skype: