Banjar Penginyahan | Desa Puhu | Payangan | Bali
Ph. +62 361 7817665 - Fax. 0361 254724
info@gajahasrivilla.com

Reservation Form

This is only an enquiry regarding the villa; it does not constitute a reservation.
Required fields (*)

Title* :
First name* :
Last name* :
E-Mail* :
Country of residence* :
Contact number* :
(include country + area code)
 Business Home Office
Alternate number :
 (include country + area code)
 Business Home Office

If you know the exact dates of your planned stay, please enter below

Choose Room Name* :
Arrival date :
Departure date :

If you know the makeup of your party, please enter below

Adult :
Children :
(ages 5 - 12)
Infant/Young children :
Number of bedroom(s) required :
Have you stayed with us before? :
How do you know about us? :
 

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