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ONEWORLD retreats at Kumara Reservation Form
Personal Information
• First Name
:
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Mr
Mrs
Miss
*
• Family Name
:
• No. of Person
:
adult(s)
• Roommate name
:
• Type of room
:
Single Occupancy
Twin Share (1 bed)
Twin Share (2 beds)
• Home Address
:
• Country
:
-- please select--
Afghanistan
Argentina
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Austria
Bahrain
Bangladesh
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Brunei Darussalam
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Canada
Central African Republic
Chile
China
Cuba
Czech Republic
Denmark
Finland
France
Germany
Greece
Haiti
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Korea, Republic Of
Kuwait
Malaysia
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Netherlands
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Norway
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Tajikistan
Taiwan
Thailand
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Others
*
• Home Telephone
:
*
• Mobile Number
:
• E-mail address
:
*
• Re-enter your email address
:
*
• Check in Date
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• Check out Date
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• Request Transportation
:
Yes
No
• If Yes
Pick up place
:
Pickup Time
:
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AM
PM
• If Airport
Arrival Flight Date
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Arrival Flight Details
:
Airline :
Flight #
•
ETA (etimated time arrival)
:
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AM
PM
• Special Request
:
CONSUMER DISCLOSURE NOTICE
Risks, Cancellations and Insurance Traveler assumes complete and full responsibility for, and hereby releases ONEWORLD retreats, PT.Zen Jiwa Raga, Kumara Sakti the owner/s, the employees or anyone involve in supplying any services during the length of the proposed travel. ONEWORLD retreats, PT.Zen Jiwa Raga, Kumara Sakti shall not be responsible for any injuries, losses or damages in connection with accommodations, other facilities at the resort, ground transportation, diseases, local laws, climatic conditions, Acts of God, delays, changes or cancellation of travel due to weather conditions, accidents or health related problems while residing at ONEWORLD retreats - Kumara and while in-transit to (e.g., an accident on the way to a tour), during, and after a tour. It is the traveler's responsibility to obtain appropriate insurance coverage against these risks If travel plans are delayed or cancelled for any reason there will be no refunds issued by ONEWORLD retreats. There will be no refunds for cancellations made 7 days or less before the starting date as explain in the agreement. We specifically recommend that foreigners entering Indonesia do so with a valid Passport expiring more than six month following the departure date from Indonesia.
I have read and agree to the Consumer Disclosure Notice
We will confirm your reservation within 36 hours.