JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Booking service request form
See the price and explain in this form what is your need, we will come back to you through whatsapp.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
List of services in Balitri
Balitri room options
Price list: swimming
Price list: cycling
Price list: running, hiking, trekking
Price list: other services
Name
*
Your answer
Email
*
Your answer
Whatsapp number
*
Your answer
Prefer check in date of service
*
Your answer
Prefer check out date of service
*
Your answer
Services you prefer (can choose more than one)
*
Room package
Cycling
Swimming
Running, hiking, trekking
Other sports and/or services
Required
Do you need bike rent?
*
We will require a deposit. You can see the full price list and the deposit through this link
www.balitri.com/road-bike-cycling-hire
Yes
No
After you fill in this form please contact
balitrihomeandstudio@gmail.com
or Whatsapp at +62 813-37159934 (all services in Bahasa), +62-813-5306-5783 (bike rent in Bahasa and English), +62-817-0157-789 (all services in English, German, Spanish)
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
