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Bali Health & Spa Booking Request Form
Please complete all required fields below before submitting the contact form to enable to reply with the correct information. Please Note: All bookings are subject to availability.
*
Indicates required field
Name
*
First
Last
Email
*
Spa Name
Thermes Marins Bali - Ayana Resort & Spa Bali
Treatment
*
Please Select
Aquatonic Pool
Aqua Exercise Pool
Aqua Exercise Pool with Aquatonic Pool
Underwater Massage
Underwater Massage with Aquatonic Pool
Date
*
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Month
*
January
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September
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Year
*
2012
2013
Preferred Time
*
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6:00pm
6:30pm
7:00pm
7:30pm
8:00pm
8:30pm
9:00pm
Number of Adults
*
1
2
3
4
5
6
7
8
8+
Transport Required
*
No
Yes
Pick up location in Bali
*
Comment
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