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Discover Scuba Diving Reservation Form

Tour Name
Preferred Date of Participation(Required)

* Please note that due to availability checks and payment processing, last-minute bookings may not be accepted.

Number of Participants

*For groups of 8 or more, please enter the information of participants beyond the 8th person in the remarks field.

Dive Guide

Pick-up Location
Drop-off Location
Flight Information
Phuket Arrival Date
Arrival Flight No. / Time
 
Phuket Departure Date
Departure Flight No. / Time
 

* If undecided, please provide the information later.

Payment Method

● Customer Information

Representative(Required)
Name
Last
First
Date of Birth(Required)
Gender
  
Address(Required)
Country of Residence
Postal Code
State / Province
City / Town
Street Address
Building / Apartment
Contact Information(Required)
Phone Number
Email Address
Participant Information 1(Required)
Name
Surname
First Name

※ Participant 1 must be the same as the representative name.

Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 2
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 3
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 4
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 5
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 6
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Participant Information 7
Name
Surname
First Name
Nationality
Age
years old
Gender
  

Size
Height cm
Weight kg
Foot Size cm
Remarks

Booking by Email

If your booking details are complicated, you can book directly by email instead of using this reservation form.

Book by Email

When booking by email, please also provide the following information:

  • Representative’s full name and gender
  • Contact phone number
  • Your accommodation in Phuket
  • Your arrival and departure dates in Phuket
  • Your departure flight number and time

Booking Details

Tour Name
Preferred Date (Required)
Number of Participants
Adults
Dive Guide
Pick-up Location
Drop-off Location
Flight Information
Phuket Arrival Date
Arrival Flight / Time
Phuket Departure Date
Departure Flight / Time
Payment Method

Customer Information

Representative (Required)
Name (Alphabet)
Date of Birth (Required)
Gender
Address (Required)
#
Contact Information (Required)
Phone Number
Email

Participant Information

Participant 1 (Required)
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 2
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 3
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 4
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 5
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 6
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm
Participant 7
Name (Alphabet)
Nationality
Age
years old
Gender
Size
Height cm / Weight kg / Foot cm

Remarks

About Cancellations

Cancellation Contact
If you wish to cancel your booking, please be sure to notify us via E-mail at the following address:

Cancellation Email: info@houbou-ya-phuket.com

Cancellation Policy
If you cancel your booking, cancellation fees will apply according to the following conditions. Please review them carefully in advance.

Cancellation Conditions: Day Trip Discover Scuba Diving

Up to 8 days before departure
Free of charge
Within 7 to 1 days before departure
50% of the tour fee
After 17:00, 1 day before departure
100% of the tour fee

Please review the Terms of Service and Cancellation Policy again. If you agree, check the option and click the "Submit Booking Form" button. View Terms of Service

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E-TRAVEL INFORMATION CO.,LTD.
135/31 Moo 4, Patak Villa Soi 1.,T.Rawai, A.Muang, Phuket 83130 TEL:+66-81-088-2031