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Asia Concierge Reservation Form: Club Med Bali 2015
  
Please submit the internet booking form below to process a reservation for Club Med Bali :
  • A confirmation of receipt for your Club Med booking will be e-mailed to you on receipt of your internet booking form.
  • We will then revert as soon as possible with a Club Med provisional confirmation detailing accommodation type (with transport details if applicable) and best available package pricing. We will then ask for your approval to proceed with the payment amount shown on the confirmation.
  • Last minute bookings should be received at least three working days prior arrival date.

SECTION A:- PERSONAL INFORMATION

Full Name:        

E-Mail                 

Telephone Number:-Mobile  

Address           


SECTION B:- RESERVATION DETAILS FOR CLUB MED BALI

Number Of Adults                                             Club Med Membership Number              (if this your first Club Med holiday enter NEW)

Number Of Children (4 -11 Years)                Number Of Children (2- 3 Years)                            Number Of Infants    (0 - 1 Years)        

Club Med Bali Package Type                  

Club Med Bali Room Type                      

Date Of Check-In                                                    

Date Of Check-Out                                              

INFORMATION REQUIRED FOR EACH PERSON TRAVELLING TO CLUB MED BALI

No. Full Passport Name of Guest Sex Date of Birth 
1
2
3
4
5
6
7
8

       To note that a minimum of SIX MONTHS PASSPORT VALIDITY is required.

Other Relevant Information / Special Requests (Such As Club Med Petit)/ Name Of Current Applicable Advertised Club Med Bali Promotion


SECTION C:- CREDIT CARD INFORMATION
*****To note that credit card information will not be used until  the exact Club Med Bali overall package cost has been reconfirmed/ Asia Concierge has received your definite approval to proceed with payment to Club Med*****
Credit Card Type:
 
 Visa
 Mastercard
 Amex
Name On Card :
Card Number :
Expiry Date : Month -

Year -  

On final confirmation & payment approval, an e-voucher will be sent to you via e-mail which is used to check in at Club Med Bali. (Also e-flight tickets if you have requested a flight package in order to check-in at Changi Airport).

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Last modified: 22 March 2015.