Villa Bersama- Book now
First Name
*
Family Name
*
E-mail
*
Telephone Number
*
Including country number
Address
*
City
*
Country
Land
Albania
Algeria
Angola
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
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Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burma (Myanmar)
Cambodia
Cameroon
Canada
Cayman Islands
Central African Rep
Chile
China
Colombia
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Fiji
Finland
France
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea, Dem People's Rep
Korea, Republic Of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Liberia
Libya
Lithuania
Luxembourg
Macau
Macedonia (Republic of)
Madagascar
Malaysia
Maldives
Mali
Malta
Mauritius
Mexico
Moldova, Rep
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Samoa
Saudi Arabia
Senegal
Seychelles
Sierra Leona
Singapore
Slovakia (Slovak Rep)
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbabwe
Others
Arrival Date
*
Dag
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Maand
Januari
Februari
Maart
April
Mei
Juni
Juli
Augustus
September
Oktober
November
December
Jaar
2013
2014
2015
2016
2017
2018
Departure Date
*
Dag
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Maand
Januari
Februari
Maart
April
Mei
Juni
Juli
Augustus
September
Oktober
November
December
Jaar
2013
2014
2015
2016
2017
2018
Number of Guests
*
Adults
-1
1
2
3
4
5
6
7
8
Children
-1
0
1
2
3
4
5
6
7
8
Other enquiries
9 + 19=28
pls correct check sum
*
Mandatory fields