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  ONLINE BOOKING FORM  
 
 
 

Before submitting your booking request, please read over our Reservation Policy, then simply complete the form below and send it to us.  Alternatively, you can make a booking via telephone, fax or e-mail using our contact details!
Required Information    
Title

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First name
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Last name
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Email address
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Full address
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City
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State/ Province
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Country
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Zip Code
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Phone
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Fax
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Tour of interest code
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Total number of adult
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Total number of children
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  age :    *
Full name of any additional tour participant : *
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Arrival/ Departure Information    
Arrival :           *
Departure :           *
Flight details :   *
Type of accommodation requested :   *
Special dietary requirements :   *
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I Agree and Accept the Reservation Policy   tick if you agree!  *

 

 
     
 
 
     
 
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PT. Nusa Wisata TOURS AND TRAVEL SERVICE
Small Group Adventure Specialist
Jln. Yos Soedarso, Wairotang - Maumere 86111, Flores - NTT, Indonesia
Tel/ Fax: +62 (0382) 22026, Mobile phone: +62 813 3925 5317
E-mail: info.nusawisata@gmail.com/ welcome2cabodaflora@yahoo.co.uk
Copyright© 2008 Ila One Nua Foundation. All rights reserved.  Web Designed by d' Gama Gerardus. Last Edited: 21/06/2008