Inquiries and Bookings

All information sent by this form is protected by SSL data encryption.

Name of Person Making Reservation

Full name
E-mail address

Trip Information

Travel agency
(if applicable)
Agency’s phone number
(if applicable)
Number of divers under reservation
Date of arrival Palau
Airline and flight number
Date of departure from Palau
Airline and flight number
Name of your hotel

Dive Tour Information (Required for Bookings)

Dive dates requested


January 20, 2017
January 10 through 16
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)


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.)