HOBO-YA SIMILAN DIVE SAFARI : SPECIAL TRIP : M/V PANUNEE RESERVATION FORM

Top　＞　Liveaboard　＞　MV Panunee（Raja Ampat）　＞　Reservation form

RESERVATION FORM

[ INDONESIA / RAJA AMPAT]
MV PANUNEE LIVEABOARD

This is a limited offer to Raja Ampat, located in a wondrous ocean that's said to have been governed by 4 kings. Known for the world's richest and most vibrant coral reefs, you'llsee a variety of species here including endemic ones such as the rare black manta ray and new types of walking shark.

RESERVATION FORM
Trip name：
Date of departure	Day Month Year
Date of return	Day Month Year
Cabin type
Number of participants	Person , Person
Pick up at
Send back to
Flight info. * Please vacant if not fixed.	Arrive to Phuket：　　　Departure from Phuket:
Payment method
* If your request is complicated, please describe in the Remarks Column on the bottom.
CUSTOMER'S INFORMATION
Representative	First name: 　Last name:
Date of birth	日
Gender	Male 　　 Female
Address	Country：　　Postal code: 　　Prefecture/States: 　　City/ Village: 　　Street Address:
Contact info.	Email: 　　Phone: 　　Fax :
Participant1	First name: 　　Last name: 　　Nationality: 　　Age:　　　 Yyars old 　Gender: 　 Male, 　 Female 　Certified organization：　　　　Certified rank：　　　 Maximum depth for OPENATER DIVER is limited to 18m. We strongly recommend to take a ADVANCED OPENWATER COURSE on board to extend the limit to 30m. Because almost dive site has attractive spots at deeper than 18m. 　Number of experience: 　 Dives 　Date of last dive: 　　Equipment rental:　　 No need 　 Full set with a Dive computer：900B 　 Full set without a Dive computer：700B 　 Single item (Please choose from below) 　 Regulator：250B 　 BCD jacket：250B 　 Wet suite (Shorty 3mm）：150B 　 Mask：150B 　 Fins：150B 　 Dive computer：250B 　Size：　 Height cm　　 Weight kg　　 Foot size　 inch 　Nitrox tank request: 　　 Yes 　　 No NITROX tanks are available only for Enriched Air certified divers, or divers who take Enriched Air Diver Specialty Course on board.
Participant2：	First name: 　　Last name: 　　Nationality: 　　AGE:　　　 Years old 　Gender: 　 Male, 　 Female 　Certified organization：　　　　Certified rank：　　　 Maximum depth for OPENATER DIVER is limited to 18m. We strongly recommend to take a ADVANCED OPENWATER COURSE on board to extend the limit to 30m. Because almost dive site has attractive spots at deeper than 18m. 　Number of experience: 　 Dives 　Date of last dive: 　　Equipment rental:　　 No need 　 Full set with a Dive computer：900B 　 Full set without a Dive computer：700B 　 Single item (Please choose from below) 　 Regulator：250B 　 BCD jacket：250B 　 Wet suite (Shorty 3mm）：150B 　 Mask：250B 　 Fins：150B 　 Dive computer：250B 　Size：　 Height cm　　 Weight kg　　 Foot size　 inch 　Nitrox tank request: 　　 Yes 　　 No NITROX tanks are available only for Enriched Air certified divers, or divers who take Enriched Air Diver Specialty Course on board.
Participant3：	First name: 　　Last name: 　　Nationality: 　　Age:　　　 Years old 　Gender: 　 Male, 　 Female 　Certified organization：　　　　Certified rank：　　　 Maximum depth for OPENATER DIVER is limited to 18m. We strongly recommend to take a ADVANCED OPENWATER COURSE on board to extend the limit to 30m. Because almost dive site has attractive spots at deeper than 18m. 　Number of experience: 　 DIVES 　Date of last dive: 　　Equipment rental:　　 No need 　 Full set with a Dive computer：900B 　 Full set without a Dive computer：700B 　 Single item (Please choose from below) 　 Regulator：250B 　 BCD jacket：250B 　 Wet suite (Shorty 3mm）：150B 　 Mask：150B 　 Fins：150B 　 Dive computer：250B 　Size：　 Height cm　　 Weight kg　　 Foot size　 inch 　Nitrox tank request: 　　 Yes 　　 No NITROX tanks are available only for Enriched Air certified divers, or divers who take Enriched Air Diver Specialty Course on board.
Participant4：	First name: 　　Last name: 　　Nationality: 　　AGE:　　　 Years old 　GENDER: 　 Male, 　 Female 　Certified organization：　　　　Certified rank：　　　 Maximum depth for OPENATER DIVER is limited to 18m. We strongly recommend to take a ADVANCED OPENWATER COURSE on board to extend the limit to 30m. Because almost dive site has attractive spots at deeper than 18m. 　Number of experience: 　 Dives 　Date of last dive: 　　Equipment rental:　　 No need 　 Full set with a Dive computer：900B 　 Full set without a Dive computer：700B 　 Single item (Please choose from below) 　 Regulator：250B 　 BCD jacket：250B 　 Wet suite (Shorty 3mm）：150B 　 Mask：150B 　 Fins：150B 　 Dive computer：250B 　Size：　 Height cm　　 Weight kg　　 Foot size　 inch 　Nitrox tank request: 　　 Yes 　　 No NITROX tanks are available only for Enriched Air certified divers, or divers who take Enriched Air Diver Specialty Course on board.
Participant5：	First name: 　　Last name: 　　Nationality: 　　AGE:　　　 Years old 　GENDER: 　 Male, 　 Female 　Certified organization：　　　　Certified rank：　　　 Maximum depth for OPENATER DIVER is limited to 18m. We strongly recommend to take a ADVANCED OPENWATER COURSE on board to extend the limit to 30m. Because almost dive site has attractive spots at deeper than 18m. 　Number of experience: 　 Dives 　Date of last dive: 　　Equipment rental:　　 No need 　 Full set with a Dive computer：900B 　 Full set without a Dive computer：700B 　 Single item (Please choose from below) 　 Regulator：250B 　 BCD jacket：250B 　 Wet suite (Shorty 3mm）：150B 　 Mask：150B 　 Fins：150B 　 Dive computer：250B 　Size：　 Height cm　　 Weight kg　　 Foot size　 inch 　Nitrox tank request: 　　 Yes 　　 No NITROX tanks are available only for Enriched Air certified divers, or divers who take Enriched Air Diver Specialty Course on board.
Remarks：	Please describe your requests or questions.
Terms of cancellation
Contact information	f you wish to cancel or change your reservation, please let us know by Email to following address. 　Cancellation contact： info@hobo-ya-similan.com
Cancellation Policy	Please note that when you cancel the booking due to personal reasons, cancellation fee will be applied as follows.（Cancellation policies are different depending on the boat operators.） CANCELLATION POLICY：MV PANUNEE 　　Until 121 days before departure date : 10% of Trip price 　　Less than 61 days before departure date : 50% of Trip price 　　Less than 60 days before departure date : 100% of Trip price After e filled the form, click "SUBMIT" button below. Please check filled information on the confirmation page which is displayed next and click CONFIRM button if they are correct. After receiving your reservation form, we will send you a "Booking Confirmation E-mail" within 24 hours which contains the summary of your request , the total price, and the method of payment. Please read it carefully. In case you should not receive our email, Please contact us to info@hobo-ya-similan.com.