About
you
*
Mandatory fields
Name*
Your
name
Your
Birthday
Passport
Number
Address,
City, Zipcode *
Country
Your
E-Mail :*
Your telephone number
Your message
Deatails
about your Liveaboard Trip
*
Mandatory fields
SAFARI
Trip*
Trip
Please select
2D/ 1N Hin Daeng Safari
4D/ 4N
Similan Islands incl. Richelieu Rock
5D/
5N Similan Islands incl. Richelieu Rock
7D/ 6N
Similan Islands & Hin Daeng
4D/ 3N
Phi Phi & Hin Daeng Safari
Number
Cabins*
Bunks bed cabin with Aircondition (max.
2 Pax)
Double bed cabin with Aircondition (max.
2 Pax)
Dive
certification *
I
am
Please select
OWD
AOWD
Rescue Diver
Divemaster
Ass Instructor
Instructor
1*
2**
3***
4****
from
the organisation
Select
PADI
NAUI
SSI
CMAS
Others
Total
dives
My last dive was on
Yes
No
i am /( not) cerfied NITROX diver and want dive on the Liveaboard
all dives with free NITROX
Insurance
yes
i have my own dive insurance
yes i have my own travel insurance
Rental
equipment
Full set
Yes , i want to rent the full set! (Regulator, Jacket, Shorty,
ABC)
The rental
is already in the trip price included.
No, i bring my own full set equipment with me!
Per day we will reduce the
"All inclusive price"- about 8 Euros
Regulator
set
yes, i want to rent
BCD
Jacket
yes,
i want to rent
Size
Plkease select
XS
S
M
L
XL
XXL
Shorty
yes,
i want to rent
Size
Please select
XS
S
M
L
XL
XXL
Mask, Snorke, Fins
yes,
i want to rent
Size
Fins
36
37
38
39
40
41
42
43
44
45
46
Additional
rental equipment
Dive computer
SUUNTO
Per dive day 6.-
Euro
15 Liter Aluminium tank (just
AIR!)
Per
dive day 7.- Euro
UW- Torch
Per
nightdive 5.- Euro incl. batteries
UW- Digital Camera
Per
dive day 26.- Euro incl. CD Rom
Interest
in our diving courses
Mini-
Refresher
Good for divers,
who didn't dive in the last 8 month - only THB 1.200.-
Enriched
Air
PADI NITROX
- Course on any our Liveaboard trips- only THB
5.000.-
Advanced
OWD
PADI AOWD
- Course on any our Liveaboard trips only
THB 7.500.-
Private
policy
Yes i have read the Terms and Conditions
- Private policy from SimilanTauchsafaris/
Pegamedia Co., Ltd., Thailand .
I agree and understood all points of it !
*
Please, fill out all mandatory fields! Thanks for your time!
Please
write in the following field the Password
manta
Thank
you very much!
@ 2011 pegamedia co.,
ltd
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click
only one time!