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<title>Reservation for The Samaya Seminyak</title>
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    <td valign="top"> <div align="right"><font size="5" face="Georgia, Times New Roman, Times, serif"> 
        </font> </div>
      <div align="center"><font size="5"><strong><font color="#484800" face="Georgia, Times New Roman, Times, serif">The 
        Samaya Seminyak</font></strong></font> <font color="#484800"><br>
        </font><font color="#515100" size="2" face="Verdana, Arial, Helvetica, sans-serif">Jl. 
        Laksmana, Seminyak Beach<br>
        Bali, Indonesia <br>
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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><font color="#FF6600">T</font>he <font color="#FF6600">S</font>amaya 
            <font color="#FF6600">S</font>eminyak</b></i></td>
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          <td class="text" colspan="2"> <img src="/images/dot.gif" width="9" height="6"><b><a href="/bali_hotels_list/thesamaya_seminyak/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">
        <!--#include virtual="/common/form.htm" -->
      </form>
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