Reservation Form Booking Date : (mm/dd/yy) Your Name : E-mail Address : No of Person(s) : Booking Time : Bali Address : Bali Phone No : Special Request :

PT. SAMA-SAMA BALI UTAMA "YAKINIKU SAMA-SAMA" JAPANESE RESTAURANT
Jl. By Pass Ngurah Rai No. 128 Nusa Dua - Bali
Phone 62 361 771129, Fax 62 361 776366
E-mail sama-sama@samasamabali.com