Credit Card Guarantee Form

BALI SHOPPING TOURS
Jl. Uluwatu, Bukit Lestari Jimbaran, 80361 \|Phone: +62 81936233107 \| Fax: +62 361 703581
www.balishoppingtours.com \| sales@balishoppingtours.com

CREDIT CARD GUARANTEE FORM

Tour Start Date:	dd-mm-yyyy
Tour End Date:	dd-mm-yyyy
Number of Guests:	Adult(s) Child
*Email Address:
Name Reservation Held under:
Additional Requests:
CREDIT CARD DETAILS
Card Holder Name:
Type of Card:
Card Number:	(as it appears on card)
Expiration Date:	Month / Year
Billing Address:
*Your Phone:
*Enter Security Code:
Security Code:	reload number What is this? - To help us distinguish between form submitted by individuals and those automatically entered by software robots.
By clicking 'Submit' Button below, you agree with our Reservation Cancellation and No-show policy.
* Required)
CANCELATION AND NO-SHOW POLICY
There is a cancellation fee of $10 per guest for cancellation within 7 days prior arrival and no cancellation fee for cancellations made more than 7 days.
NO RESERVATION CAN BE CONFIRMED UNTIL THIS FORM IS COMPLETED AND REVERTED BACK TO US
I hereby agree to above terms and conditions and understand that the cancellation & no-show fees stated above will not be refundable in the event of cancellation or no-show.

Call: +6285339611617