H2O Sportz - Advance Activity Registration Form


	Advance Activity Registration Form Future guests of the Oberoi Lombok can now enjoy the convenience of planning their itinerary on line. Use the form below to help us make sure your stay at the Oberoi is most enjoyable. You will be contacted by a member of our staff confirming your H2O activity itinerary.


	Guest Information Please enter as much information as possible.


	Title:


	First Name:


	Middle


	Last


	Address


	City/Town


	State/Provence


	Postal Code


	Country


	Telephone


	Fax

Email


	I prefer to be contacted by

No. in party


	Arrival


	Departure

Activities Tell us what you would like to do, and when you would like to do it.


	Requested Activitiy #1
	Date


	Requested Start


	Requested End


	Requested Activity


	No. in party

Special Instructions


	Requested Activitiy #2
	Date


	Requested Start


	Requested End


	Requested Activity


	No. in party

Special Instructions


	Requested Activitiy #3
	Date


	Requested Start


	Requested End


	Requested Activity


	No. in party

Special Instructions


	Requested Activitiy #4
	Date


	Requested Start


	Requested End


	Requested Activity


	No. in party

Special Instructions


	Requested Activitiy #5
	Date


	Requested Start


	Requested End


	Requested Activity


	No. in party

Special Instructions


	Requested Activitiy #6
	Date


	Requested Start


	Requested End