Diving Phuket PADI courses Similan Liveaboards - Phuket Pro Dive
Booking Form
* Please fill in ALL information below and copy/past to e-mail to send it to booking@phuket-scuba-diving.com. We will reply back to you as soon as possible. Thank you !
Personal
Information
How
did you find our website?
Name:
Address:
E-mail:
Tel:
Fax:
Nationality:
Preferred
language:
Arrival
Date and Time:
Departure
Date and Time:
Proper
Hotel Name:
Telephone
number of the Hotel:
Current
certification level:
How
many dives do you have?
Dives
When
was your last dive?
PADI
Courses
Kind
of Course:
Please
select your specialty course:
Please
check if a referral:
Preferred
start date:
Daytrips
Dive
Site:
Date:
Number
of Divers:
Number
of Non-Divers:
Liveaboard
Destination:
Liveaboard
Code:
Departure
Date:
Number
of Days/Nights:
Number
of Divers:
Number
of Non-Divers:
Equipment
(price includes equipment on some courses)
Do
you need equipment?
Check
boxes for equipment requirements:
BCD
regulator
wetsuit
mask
fins
dive
light
underwater
camera
other
note:
weight belts, weights and tanks are always included
Accommodation
Do
you need help to arrange Accommodation?
Kind
of Accommodation:
Situated
at:
Size
of room:
Accommodation
location:
Price
Range per room:
Transportation
Transfer
to/from Phuket Airport
If
YES, flight# & Arrival time
Motorcycle
Rental request?
If
YES, Date to rent?
Additional
Information/Comments/Requests
PHUKET
PRO DIVE & SAIL CO., LTD. AWARD WINNING INSTRUCTION
