D’STARS FAST FERRY BOOKING FORM

Your Name*

Phone Number with Country Code*

Your Email*

Please select your Bali Land transfers?*

Accommodation booked through TLT?*

If YES, please provide Booking Ref/Name

Number of adults (11 years & over)*

Number of children (3-10 years)

Number of infants (0-2 years)

Type of Ticket*

Date of Departure from Bali

Date of Departure from Lembongan

Time of boat departure from Bali

Time of boat departure from Lembongan

Pick up location in Bali*

Flight Number

Arrival Time

OR

Hotel / Villa name & address

Hotel / Villa Contact Number

Drop off location in Bali*

Flight Time

OR

Hotel / Villa name & address

Name of accommodation in Lembongan. Please put N/A if you are a day tripper.*

Please list names of all people travelling*

Message / Special Requests

Do you bring a surfboard?*

How did you hear about us?*

DSTARS FAST FERRY BOOKING FORM