Special Packages Reservation Form 

• Please fill out the following form to complete your reservation
• Fields marked with an asterisks (*) are required input fields

All Bookings cancelled within 1 day prior Booking time
will be charged 100% cancellation fees

Name:	Mr.Mrs.Ms. *
Email Address:	*
Your Dolphin BookingID:	*
Activity:	Select Package White Water Rafting Bali Rafting + Cycling Tour Bali rafting + Elephant Safari Ride Bali Water Sports Lembongan Marine Tour Lembongan Beach Club Cruise Lembongan Reef Cruise *
Date Activity	(dd-mm-yy)*
Number of Guests:	Adult: 0 1 2 3 4 5 6 7 8 9 10       Children: 0 1 2 3 4 5 6 7 8 9 10  (4 - 12 years)
Hotel/Villa Name:
Hotel area - Address:	Select Location Sanur Kuta Tuban Legian Seminyak Nusa Dua Jimbaran Others *
Message/Special Request:
Security Question	11 + 5 = *

Free Call and Chats:
 

OFFICE ADDRESS

Jl. Batas Dukuh Sari - Pedungan
Denpasar - Bali, Indonesia (80222)
Phone: +623618352668
Fax    : +623618352667

Other Special Offers

White water rafting Bali
Only US$ 29.5

Rafting + Cycling Tour
Only US$ 57

Rafting + Elephant Ride
Only US$ 85.00

Water Sports Packages
From: US$ 32

Lembongan Marine Tour
Only: US$ 85

Lembongan Beach Club
Only: US$ 105