Rocky Fast Cruise Booking Form

Name

First

Last

Email Address

Phone Number (with country code)

No. of Adults (12 years & over)

No. of Children (3 - 11 years)

Type of Ticket

Date of Departure from Sanur (dd/mm/yy)

Time of Departure from Sanur

Date of Departure from Lembongan (dd/mm/yy) (copy)

Time of Departure from Lembongan

Please select your Bali Land transfers?

Pickup Location in Bali

Flight Number

Arrival Time

Hotel / Villa Name & Address

Hotel / Villa Contact Number

Drop Off Location in Bali

List of (copy)

Flight Time

Hotel / Villa Name & Address

Name of Accommodation in Lembongan or Please Put N/A If You Are a Day Tripper.*

Please List Names of All Passengers

Message / Special Requests