| Home | Travel Community | Iklan | Bergabung | Form Pendaftaran |  TICKET DETAILS <<Back  Valid Date  :  01 Apr 2008 Route  :  JAKARTA - PALEMBANG Airlines  :  BATAVIA Class  :  Z Price  :  IDR 297000 Note  :  Promo Class *Fix Dates fix Flight* RESERVATION FORM - AIRLINES TICKET By submitting this form, we assume that you have been read and agree with our Terms and Condition of Reservation. In order to process your reservation accordingly, please fill in the form below correctly. The asterisk '*' beside the fields means required. TANGGAL KEBERANGKATAN ANDA Perjalanan : Pulang Pergi   Satu Arah Tanggal keberangkatan* : 12345678910111213141516171819202122232425262728293031 JanuariFebruariMaretAprilMeiJuniJuliAgustusSeptemberOktoberNovemberDesember Tanggal keberangkatan 2 : 12345678910111213141516171819202122232425262728293031 JanuariFebruariMaretAprilMeiJuniJuliAgustusSeptemberOktoberNovemberDesember Tanggal Kembali : 12345678910111213141516171819202122232425262728293031 JanuariFebruariMaretAprilMeiJuniJuliAgustusSeptemberOktoberNovemberDesember   GUEST INFORMATION Contact Person* : Mr Ms Mrs Contact Number * : E-mail Address* : Contact Address :   SIAPA YANG AKAN BERPERGIAN ? 1. For International Flight, Name of the Passengers must be specified as written on the Passport. 2. For Children ( 2 - 11 years old ) or Infant ( under 2 years old ), their age must be stated after their names. Name of the Passengers* : Contoh : 1. Mr. Pepen 2. Mrs. Lita 3. Ms. Sabrina 05 Yr   PERMINTAAN KHUSUS LAINNYA Other Request :     | Home | Travel Community | Iklan | Bergabung | Form Pendaftaran |   For more information please contact us Miracle Tour and Travel Jl. Sunter Hijau Raya Block E2 no. 12 Jakarta Utara, Indonesia Ph.021 - 6583 7497 (Hunting), Fax.021 - 651 7931 Email : tour@miracletour.net   Design by www.travelku.net - TJR