Worldwide Booking Form · Diving World
Ref Email quote Date:
Party Leader Name: Address: BOOKING REFERENCE £££££
Day Telephone: Postcode: Destination:
Eve Telephone: E-mail: Departure Date:
Mobile: Duration of holiday (nights) Departure Airport:
FLIGHTS:International: £ Domestic: £ None: £ / FRENCH POLYNESIA:
PAPEETE
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type:
Second Hotel Preference: / ……………………………………......
…………………………………………
MOOREA
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type:
Second Hotel Preference: / ……………………………………......
…………………………………………
BORA BORA
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type:
Second Hotel Preference: / ……………………………………......
…………………………………………
RANGIROA
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type:
Second Hotel Preference: / ……………………………………......
…………………………………………
RURUTU
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type: / ……………………………………......
FAKHARAVA
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type: / ……………………………………......
TIKEHAU
Number of Nights: £ / How Many Dives: £
Please State Which Hotel/Room Type: / ……………………………………......
LIVE-ABOARD DIVING – TAHITI AGGRESSOR – TUAMOTUS £
RURUTU HUMPBACK WHALE EXTENSION £
ALTERNATIVELY WHICH FRENCH POLYNESIA PACKAGE: …………………………………………………………………………………………..
COCOS ISLAND – COSTA RICA:
LIVE – ABOARD DIVING – U/SEAHUNTER / AGGRESSOR £
GALAPAGOS:
LIVE – ABOARD DIVING:
GALAPAGOS AGGRESSORS 1& 11 £
SKY DANCER £
MALAYSIA:
LAYANG LAYANG SIPADAN DIVE CENTRE
Number of Nights £ Number of Nights £
BORNEO
Number of Nights £
INDONESIA:
WAKATOBI DIVE RESORT
Number of Nights £ Land based £ Ref email quote
LIVE-ABOARD DIVING
Komodo Dancer: State Twin £ Deluxe Lido £ Suite Lido £
MALDIVES:
LIVE – ABOARD DIVING-BAANI FLEET
Choose Liveaboard: Baani Explorer £
Stingray or Other £ Baani Adventurer £
DECLARATION:
I have read, understand and accept on behalf of all persons listed the relevant brochure / web pages booking conditions on which details of our particular holiday are shown. I also accept that all persons listed are themselves responsible for seeing that immigration and health requirements are fulfilled.
Signature Date: / /
Title / First
Name / Surname
as on passport / Age / Insurance / Dive
Level / Passport / Accommodation / Emergency Contact
Number/
Policy / Number / Expiry / Single/Twin / Share
with / Name / Number
1
2
3
4
5
6
7
8
9
10
FURTHER REQUESTS: Diet Requests, Diving Equipment e.t.c
Please write on accompanying letter or email. / PAYMENT: Deposit required £450 per person (except for Aggressor Fleet Live-aboards £650). At time of booking or full payment inside 10 weeks
DEPOSIT TOTAL:
£ / PAYMENT BY CREDIT/DEBIT CARD: Security code: ( - - - )
Please Charge the Following Amount £
To my MASTERCARD / VISA / DELTA / MAESTRO / CONNECT / SWITCH Card number:
££££ ££££ ££££ ££££ ££££
Card holder: Expiry date of card / /
Signature: Switch issue no.
PAYMENT BY CHEQUE: Please make cheque out to Diving World UK Ltd