Dive Adventures and Liveaboard Cruises in Thailand, Burma and Indonesia

booking form
 
 
Booking Form

  Welcome to our booking form...

It is fairly extensive but it makes it easy for us to keep track of your details and special requests. Please make sure you send us an e-mail to confirm availability prior to filling out this form. Our booking form is designed to accept information for two guests. If you have not received a confirmation code from us you are not ready to fill out this form. (* indicates required fields)
Personal information guest No.1
*Your name
*Your email
Languages spoken
Certification PADI CMAS NAUI SSI Not yet
Certification Level
No. of Dives
Date of Last Dive Day Month Year

Liveaboard Trip

Boat
Trip Code
Date of Departure Day Month Year

Day Trip

Trip Location
Trip Date Day Month Year

PADI Courses

Course
Course Date Day Month Year

Rental Equipment

Regulator Wetsuit S/M/L
Mask BCD S/M/L
Computer Fins (shoe size) Size
 

Personal information guest No.2
*Your name
*Your email
Languages spoken
Certification PADI CMAS NAUI SSI Not yet
Certification Level
No. of Dives
Date of Last Dive Day Month Year

Liveaboard Trip

Boat
Trip Code
Date of Departure Day Month Year

Day Trip

Trip Location
Trip Date Day Month Year

PADI Courses

Course
Course Date Day Month Year

Rental Equipment

Regulator Wetsuit S/M/L
Mask BCD S/M/L
Computer Fins (shoe size) Size

Confirmation Code

Code *

Payment Option

Credit Card Wire Transfer

Flight Information

Arrival Date Day Month Year
Flight Number Time
Departure Date Day Month Year
Flight Number Time

Hotel Information

Your Hotel
Located in
Comments or Questions
 
Once we have received your booking details we will send you your 'reservation code', total payment amount, and access to your payment option.

Please reply to us to confirm your acceptance and inform us that payment has been made.

   
 

 

 

 




Dive Adventures Asia Co., Ltd.
49/35 Moo 1, Soi Nanachat Sai Yuan Rd.
Rawai Beach, Muang Phuket
Thailand 83130
Phone: +66 (0) 833 802 875
Fax: 001 832 202 2885
E-mail: info@diveadventuresasia.com

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