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<meta name="keywords" content="pertiwi resort, pertiwi resort ubud, ubud resort.">
<title>Reservation for Pertiwi Resort & Spa</title>
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<p>&nbsp;</p></td>
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      <font size="2" face="Verdana, Arial, sans-serif">&nbsp; </font> </td>
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        <h1><img src="/bali_hotels_list/pertiwi_resort_spa/images/head.gif" width="560" height="110"></h1>
        <p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">PERTIWI 
          RESORT &amp; SPA<br>
          Monkey Forest St, Ubud, Bali, Indonesia</font></strong></p>
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    <td width="88" valign="top">&nbsp; </td>
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          <td class="title" colspan="2"><i><b><font color="#333333"><img src="/images/spacer.gif" width="8" height="1"><font color="#333399">Inquiry 
            Form</font> - <font color="#FF6600">p</font></font>ertiwi<font color="#333333"><font color="#FF6600"> 
            r</font></font>esort</b></i></td>
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          <td class="text" colspan="2"> <img src="/images/dot.gif" width="9" height="6"><b><a href="index.html">Information</a></b> 
            <img src="/images/dot.gif" width="9" height="6"><b>Room Rates</b></td>
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      <form method="post" action="/cgi-bin/management.pl" name="formrequest" onSubmit="MM_validateForm('realname','','R','email','','RisEmail','Country','','R','Check-in Date','','R','Check-out Date','','R','Adults','','R','Room Type','','R','Room Category','','R');return document.MM_returnValue">
        <input type="hidden" name="recipient" value="management">
        <input type="hidden" name="subject" value="Reservation Form Puri Bagus Candidasa">
        <input type="hidden" name="redirect" value="/thankyou.html">
        <input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,REMOTE_USER,HTTP_USER_AGENT,HTTP_REFERER">
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