Experience Form

Full Name

Phone Number

Email

Arrival Date

Departure Date (min. 3 nights)

Flight Detail or Address to be Picked Up

Number of Cabin (Max 2 person/cabin) (please select one)1 cabin2 cabins3 cabins4 cabins5 cabins6 cabins7 cabins8 cabins9 cabins10 cabins

Select Your Activity : Select Your Activity : Yoga / Meditation Balinese Massage (60 mins) Balinese Massage (90 mins) Cleansing Ceremony Balinese Healing Canangsari Cooking Class Candlelit Dinner Floating Breakfast Fishing Short Hiking Trip - Waterfalll/ Local Farm Trip (3 hours) Long Hiking Trip - Mt BatuKaru (12hours) Full Day Car Tour

Guest Info