Bulan Purnama - Deposit / Invoice Payment Form

Bulan Purnama Liveaboard Deposit and Charter Invoice Payment Form

Please submit your information below to complete payment for your Deposit or Charter Invoice with Bulan Purnama / Komodo Pirate Boat. You have the option to pay by Bank Transfer or by Using the PayPal Link Below. Please complete all the information and click Submit Below to Confirm your Reservation. You will receive a confirmation email once your payment has been received.
REFERRAL SOURCE OR BOOKING AGENT NAME (optional)
Primary Guest Contact

First NameLast Name
Guest E-mail
example@example.com
Guest Contact Number
Charter Departure Date

MonthDayYear
Date
How many People in the Group?
Length of Charter you are interested in
Type of Charter: Private Charter / Open Trips
Which Cabin Type Are You Booking
Please list all of the Guest Names, Nationalities, and Passport Numbers
TOTAL AMOUNT FOR THE BOOKING IN IDR OR USD:
ENTER TOTAL BOOKING AMOUNT IN IDR OR USD AND FOLLOW PAYMENT INSTRUCTIONS BELOW
DEPOSIT AMOUNT PAID TO MAKE THE RESERVATION
PLEASE ENTER DEPOSIT AMOUNT IN IDR OR USD AND FOLLOW PAYMENT INSTRUCTIONS BELOW
ARE YOU PAYING YOUR DEPOSIT OR FULL CHARTER INVOICE
HOW DO YOU PLAN ON COMPLETING YOUR PAYMENT? (BANK TRANSFER / PAYPAL)
PAYMENT BY TRANSFER OPTIONS: LOCAL IDR BANK ACCOUNT ; BANK MANDIRI NAME: PT. KOMODO INDAH LESTARI - ACCOUNT NUMBER: 1810000470758

TO TRANSFER YOUR DEPOSIT FROM IDR TO A LOCAL ACCOUNT, PLEASE TRANSFER TO THIS ACCOUNT
TRANSFER FROM A FOREIGN BANK ACCOUNT (GBP / EU / AUD) PETER ASHLEY BALL - ROUTING: 026073008 / ACCOUNT: 8311624695 SWIFT/BIC: CMFGUS33 ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES

IF TRANSFERRING FROM A FORIEGN BANK OUTSIDE THE USE, PLEASE TRANSFER TO THIS ACCOUNT
TRANSFER FROM A BANK ACCOUNT BASED INSIDE THE UNITED STATES PETER ASHLEY BALL - ROUTING: 84009519 / ACCOUNT: 9600003869645698 ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES

IF TRANSFERRING FROM A BANK BASED INSIDE THE USE, PLEASE TRANSFER TO THIS ACCOUNT
PAYPAL USD PAYMENT OPTION - ENTER AMOUNT OF YOUR DEPOSIT OR INVOICE AND CHECK OUT BELOW

ENTER THE AMOUNT OF YOUR DEPOSIT OR INVOICE PAYMENT AND CHECK OUT WITH PAYPAL LINK BELOW
PAYMENT OPTIONS
PAYMENT BY CREDIT CARD:

SUBMIT THE FORM AND WE WILL EMAIL YOU INVOICE YOU A CREDIT CARD PAYMENT LINK

PAYMENT BY TRANSFER OPTIONS:

TRANSFER TO LOCAL IDR BANK ACCOUNT ; BANK MANDIRI

NAME: PT. KOMODO INDAH LESTARI - ACCOUNT NUMBER: 1810000470758

TRANSFER FROM A FOREIGN BANK ACCOUNT (GBP / EU / AUD)

PETER ASHLEY BALL - ROUTING: 026073008 / ACCOUNT: 8311624695 SWIFT/BIC: CMFGUS33

ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES

TRANSFER FROM A BANK ACCOUNT BASED INSIDE THE UNITED STATES:

PETER ASHLEY BALL - ROUTING: 84009519 / ACCOUNT: 9600003869645698

ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES
Terms & Condition
• Registration
- All registration require a deposit payment of 30% of the total package price
Cancellation & Reschedule Policy
Any cancellation is forfeited (non-refundable)
- You have the right to reschedule once, no later than 14 days before the trip (only if the date still available)
Note: nature disaster, wars, pandemic, and other things happened out of our control are not our responsibility. We will give a reschedule compensation for any trip affected by those things until the condition is back to normal.

Agents: If you are an agent, please make sure you have sent us your Agent Agreement Form you can download here. Please send to liveaboardbulanpurnama@gmail.com
PAYPAL USD PAYMENT OPTION - ENTER AMOUNT OF YOUR DEPOSIT OR INVOICE AND CHECK OUT BELOW

prevnext( X )
USDEnter the Amount of your Deposit or Invoice here in USD
Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
Should be Empty:

Bulan Purnama Liveaboard Deposit and Charter Invoice Payment Form

PAYMENT BY TRANSFER OPTIONS: LOCAL IDR BANK ACCOUNT ; BANK MANDIRI NAME: PT. KOMODO INDAH LESTARI - ACCOUNT NUMBER: 1810000470758

TRANSFER FROM A FOREIGN BANK ACCOUNT (GBP / EU / AUD) PETER ASHLEY BALL - ROUTING: 026073008 / ACCOUNT: 8311624695 SWIFT/BIC: CMFGUS33 ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES

TRANSFER FROM A BANK ACCOUNT BASED INSIDE THE UNITED STATES PETER ASHLEY BALL - ROUTING: 84009519 / ACCOUNT: 9600003869645698 ADDRESS: 30 W. 26TH STREET, SIXTH FLOOR NEW YORK, NY 10010 UNITED STATES

PAYPAL USD PAYMENT OPTION - ENTER AMOUNT OF YOUR DEPOSIT OR INVOICE AND CHECK OUT BELOW

PAYMENT OPTIONS