Kajane Mua Villa - Bali Ubud Indonesia - Luxury villas in Bali
IMPORTANT : Your credit card will be used as a guarantee ONLY and will be charge if there is any cancellation within certain period of cancellation policy. All payment will be collected upon arrival in Bali except for reservation beyond Bali
Confirmation Letter for Credit Card Guaranteed Reservation
Accommodation Information :
Villa Name:
Kajane Villa, Mua - Bali, Indonesia
Type of Villa :
No. of Room (s):
No. of Adult (s):
No. of Children (s):
Ages of children:
Extra Bed Required:
Check In
Check Out
Special Requests:
Additional Requirements:
Airport Transfer:
I wish to confirm and guarantee my reservation by :
Credit
Card Information : Please be assured that we will not debit
your credit card until you have agreed on the
accommodation and until your reservation is
confirmed.
*Type
of Credit Card :
VISA
MASTER CARD
AMEX
*Credit
Card Number :
*Expiry
Date (MM/YY) :
/
(As shown on card)
*Issued
by Bank :
*3
Digit Code After Card #
on Back of Card :
(as
shown on the signature panel on your card)
*Name
as it appears on card :
First
Name
Middle
Name
Last
Name
(As shown on card)
*Card
Holder Address :
*City
:
*State
or Province :
*Postal
Code :
*Country
:
Phone
:
*Email
Address :
*Signature
:
*Passport
Number / ID Card Number :
By my signature to this Letter Authority, I authorize Kajane Mua to charge my payment of accommodation at Kajane Mua, Monkey Forest, Ubud - Gianyar, 80571, Bali - Indonesia with maximum charge of ............ ( .................................................................................. ) to my credit card
