Name of Person Making Reservation
Full name
Nationality
E-mail address
Phone
Address
Travel agency
(if applicable)
Agency’s phone number
(if applicable)
Number of divers under reservation
Date of arrival Palau
(YYYY/MM/DD)
Airline and flight number
Date of departure from Palau
(YYYY/MM/DD)
Airline and flight number
Name of your hotel
Dive Tour Information (Required for Bookings)
Dive dates requested
Examples:
January 20, 2017
OR
January 10 through 16
OR
January 10 and 13
Number of Divers
For each diver under the reservation, please include the following information (name, age, dive organization, rank, and experience)
Examples:
John Doe, age 49, PADI, OW, 120
Credit card information and other request
(To secure your booking, we need your credit card number, exp. date and CVV number. Also other request such rental gear, dietary requirement.)
