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Booking Form

Dive Cruise Name
Boarding Date(Required)
Disembarkation Date(Required)
Number of Participants
Adult

*If you are joining with 8 or more participants, please enter the information of the 8th and subsequent participants in the remarks section.

Dive Guide

Pick-up Location
Drop-off Location
Flight Information
Arrival Date
Arrival Flight / Time
Departure Date
Departure Flight / Time

*If undecided, please inform us later.

Payment Method

● Customer Information

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

*Participant 1 should have the same name as the representative.

Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 2(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 3(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 4(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 5(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 6(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Participant Information 7(Required)
Name
Last
First
Nationality
Age
years
Gender
 
Certification Agency
Certification Level

*The maximum depth for Open Water Diver certified divers is 18 meters. Diving in the Similan Islands area involves relatively deeper depths exceeding 18 meters, so we strongly recommend taking the Advanced Adventure or higher-level courses.


Room Type

Dive Experience
dives

Last Dive
Rental Equipment

*A dive computer is required.


Body Size
Height cm
Weight kg
Foot cm

Nitrox Tank
 

*Only for certified Enriched Air Specialty divers or those enrolled in the course.


Skill Update Course

Remarks

Booking by Email

If your booking details are complex, you can apply directly via email instead of using this form.

Book by Email

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

  • Representative's name and gender
  • Contact phone number
  • Accommodation on-site
  • Arrival and departure dates
  • Flight numbers and times

Booking Details

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

Customer Information

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

Participant Information

Participant 1(Required)
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 2
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 3
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 4
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 5
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 6
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Participant 7
Name (Roman letters)
Nationality
Age
years
Gender
Certification Agency
Certification Level
Room Type
Dive Experience
dives
Last Dive
Rental Equipment
Body Size
Height cm / Weight kg / Foot cm
Nitrox Tank
Skill Update Course

Remarks

Cancellation Policy

Contact for Cancellation
If you wish to cancel your reserved tour, please make sure to notify us by email at the address below.

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

Cancellation Terms
If you cancel your reservation, cancellation fees will be applied according to the conditions below. (Please note that cancellation policies may vary depending on the cruise you are using.)

Cancellation Terms: Koon 9、Short Cruise

From confirmation of booking to 31 days prior to departure
Free of charge
From 30 days until 11 days before departure
50% of Trip price
Less than 10 days before departure
100% of Trip price

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

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