Umah Pesisi, Canggu - Booking Form A brand new 3 bedroom luxury villa located in Canggu Bali and less than 2 minutes walk from the famous Canggu beach. Umah Pesisi is a stylish addition to the villas of Bali. Please complete the form below to make new booking, revise or check villa availability. Please make sure that you type the correct E-mail address as well as phone and facsimile numbers. Upon receiving your information data we will process your booking request right away. A confirmation of chosen accommodation and a timetable will be forwarded to you for your approval.   Personal Details   Full Name: Mr. Mrs. Miss Other Address: City/Zip Code: State: Country: Telephone: Home Mobile Office Facsimile: Home Office E-mail: Booking Details   I would like to: Make new booking Check villa availability Request more information Select Villa: 3 Bedroom Villa Number of People: Adult: Children: Ages of Children: Check-in Date: Check-out Date: Total Number of Nights: Arrival Date: Flight Number: e.g. CX 785 (Cathay Pacific) Arrival Flight Time: e.g. 09 : 20 AM/PM Request Airport Transfer?: Yes No It's Free of Charge! Request Terms & Conditions?: Yes No Request Layout Plan?: Yes No Comments or Special request: Please Enter Security Code:

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For further information and bookings, please use the enquiry or booking related links above. For an urgent matters, you may contact the reservation office below: Attention: Miss Meigie H. Telussa Phone 1: +62 361 9004777 Phone 2: +62 361 9004778 Facsimile: +62 361 9004779 Mobile or SMS (text) message: +62 81 2387 2981 (International), 081 2387 2981 (Local) or e-mail: info@balivillamanagement.com Yahoo! Messenger Skype We Accept