Balthali Village Resort - Reservation form

Please allow 24 hours for confirmation of your booking.
CUSTOMER INFORMATION

First Name
Last Name
Telephone
E-mail address ( A reservation confirmation will be sent to the email address provided)
Street Address
Suite or Apt. No.
City
State
Zip/ Postal Code
Country

Arrival Date:	Day Month Year
Departure Date:	Day Month Year
Number of Adults:
Number of children (below 12 years)
Preferred Number of Beds:
Room Type
Others Description