Trip Booking Form

Trip Code:

Personal Particulars

(Please enter one booking per person)
Family Name:   (As per passport e.g. Smith, Lee)
Given Name(s):   (As per passport e.g. Roger James)
Greeting Name:   (How do you normally like to be greeted? e.g. Fred)
Country Code:   (Please select country code e.g. +65 Singapore)
Contact Number:   (Contact number without Country Code e.g. 91348954)
Email Address: Gender: Male   Female
Nationality: Date of Birth:
Passport No: Passport Expiry:
Group Name:   (If traveling in a group type a name to identify your group)

Emergency Contact (not travelling with you)

Dive Insurance

Name: Company:
Number: Policy No:
Relationship: Expiry:
  Phone:

Diver Profile

Certification Level: Non Diver  On Course  Junior Open Water  Open Water  Advanced OW  Rescue  Dive Master  Instructor  
Certification Org: PADI  SSI  BSAC  NAUI  Other  
No. of dives: None  Less than 10  10-50  51-100  More than 100  I Lost Count  
Last Dive Date:
Nitrox Certified?:  (Yes I'm certified to dive Nitrox)
Nitrox This Trip?:  (Yes I would like to dive Nitrox on this trip. Charges Apply)
Camera This Trip?:  (Yes I plan to use an underwater camera on this trip.)

Courses Available

The following courses can be conducted onboard. If you are interested in completing any courses on this trip please make your selection below.

Please Select:Open Water(+ S$700)
 Nitrox(+ S$280)
 Advanced OW(+ S$450)
 Refresher(+ S$200 (single pool session to refresh skills prior to trip))
 Emergency First Response(+ S$220)
 Rescue(+ S$700)
 Digital Photography(+ S$300)
 PADI Wreck Diver(+ S$350 (or $300 each for 2 participants))
 PADI Divemaster(+ S$3000)

Rental Equipment

Please Select:BCD (US$12 per diving day)BCD Size:
Regulator (US$12 per diving day)Height:
Mask (US$5 per diving day)Weight:
Wetsuit (US$8 per diving day)Wetsuit Size:
Fins (US$5 per diving day)Shoe Size: (eg. 8 US)
Dive Computer (US$12 per diving day)
Torch (US$12 per diving day)
 
*NEW*Large Tank * (US$12 per diving day)* For those that would like a bit more air
 

Flight and Accommodation Details (if Applicable)

Flight Details: Flight NumbersDateTime
Arrival:
Departure:
Accommodation:
Hotel Name:

Additional Information

Meal Preference:  (Please let us know if you have special food requirements)
Cabin Preference:   
Questions or Comments:

Payment Options

Payment Method: Direct Transfer  Credit Card  ChequePowered By Stripe

Terms and Conditions

Booking Conditions:To guarantee your booking, payment must be received within 3 working days of your booking. We accept 50% deposit (non-refundable) upon booking. Full payment 6 weeks before departure.
Cancellation Charges: 50% for cancellation within 8 weeks of departure, 100% for cancellation within 6 weeks of departure.
Insurance:Our trips are not inclusive of any form of insurance. We advise all customers to consider both travel insurance as well as dive insurance. Dive insurance is available at DAN http://www.danasiapacific.org under Membership and Insurance. In case of trip disruption or cancellation due to unforeseen circumstances beyond our control, any compensation provided will be in the form of future trip credit only. Please do note we are unable to cover any flight or hotel expenses incurred under such circumstances & therefore strongly recommend all guests purchase adequate travel insurance.
Indemnity:A copy of the indemnity form that you will be required to sign can be found here. Please review this form and feel free to contact us with any questions you may have before commencement of the trip.

 I accept these terms and conditions and wish to proceed with the booking. (* This is required to proceed)

  

All travel arrangements for dive trips are handled by Travel Avenue Pte Ltd TA 01375

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