| Home | Travel Community | Iklan | Bergabung | Form Pendaftaran |
 TICKET DETAILS <<Back 
Valid Date  :  31 Des 2010
Route  :  Jakarta - Banjarmasin
Airlines  :  LION AIR
Class  :  X
Price  :  IDR 385000
Note  :  * Non Reroute, Non Refund, Non Extend,Non open date * Based On availability seat * include taxes * Exclude Travel Insurance
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* :
Tanggal keberangkatan 2 :
Tanggal Kembali :
 
GUEST INFORMATION
Contact Person* :
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
IWATA TRAVEL
Jl. Sultan Agung No. 58 D Jakarta, Indonesia
Ph.021 782 9425, Fax.
Email :
 
Design by www.travelku.net - TJR