Inquiry – and reservation form

Please fill out this non-binding inquiry and reservation form so that we can offer you a customized service. If you have a general question, please use our contact form here.

Fields marked with * are mandatory. So that we can offer you the best service, we ask you to fill out all fields.

"*" indicates required fields

First- / Last Name:*

First Name Last Name

Address:*

City Country

E-Mail:*

Phone / Mobile Nr:

Hotel / Accommodation:

Arrival Date:

Departure Date:

Which service/course/tour are you interested in?

Request / Your note:

Participant 1

Participant:

Date of birth:

Input for example: 04/11/1968, or selection

Diamond Kit (Participant 1):

Diamond Kit (+ THB 500)

If you choose, you will receive the Diamond Kit on a course, which allows you to have a lifelong access

Your diving certification:

Other diving certification:

Logged dives:

Shoe / fin size:

Height:

Body weight:

Add participant

Please mark (select) the checkbox to add another participant. To remove a participant, please unselect the check box

Participant 2

Participant:

Date of birth:

Input for example: 04/11/1968, or selection

Diamond Kit (Participant 2):

Diamond Kit (+ THB 500)

If you choose, you will receive the Diamond Kit on a course, which allows you to have a lifelong access

Your diving certification:

Other diving certification:

Logged dives:

Shoe / fin size:

Height:

Body weight:

Add participant

Please mark (select) the checkbox to add another participant. To remove a participant, please unselect the check box.

Participant 3

Participant:

Date of birth:

Input for example: 04/11/1968, or selection

Diamond Kit (Participant 3):

Diamond Kit (+ THB 500)

If you choose, you will receive the Diamond Kit on a course, which allows you to have a lifelong access

Your diving certification:

Other diving certification:

Logged dives:

Shoe / fin size:

Height:

Body weight:

Add participant

Please mark (select) the checkbox to add another participant. To remove a participant, please unselect the check box.

Participant 4

Participant:

Date of birth:

Input for example: 04/11/1968, or selection

Diamond Kit (Participant 4):

Diamond Kit (+ THB 500)

If you choose, you will receive the Diamond Kit on a course, which allows you to have a lifelong access

Your diving certification:

Other diving certification:

Logged dives:

Shoe / fin size:

Height:

Body weight:

Agreement

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Inquiry – and reservation form

Participant 1

Participant 2

Participant 3

Participant 4

Agreement

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