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If you prefer not to call us directly, use this form to mail your request. We will contact you back or send the information you requested promptly.

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your Oasis

	Mailing Address Nomad Bar & Restaurant Ubud Main Road #35 Ubud – 80571 – Bali Indonesia Telephone & Fax Phone : +62 – 361 – 977 169 Fax : +62 – 361 – 975 115 If you prefer not to call us directly, use this form to mail your request. We will contact you back or send the information you requested promptly.
	Contact Information
Your Name (*)	Please type your full name.
	Is this your home or business address?
	Home Business Invalid Input
Address line 1	Invalid Input
Address line 2	Invalid Input
City	Invalid Input
State/Province	Invalid Input
Zip/Postal code	Invalid Input
Country	Invalid Input
Email Address (*)	Invalid email address.
Website	Invalid Input

Subject	Invalid Input
Your Message (*)	Please insert your messages !
Secure Code	Refresh Invalid Input of Secure Code !