Book your Dive Vacation Online
With this form you can book online your diving vacation with us. By doing this you are giving us the time to take all preparations for your trip which will have a positive effect on our total service to you. After your online reservation we will contact you to discuss your personal wishes.   Please be advised, i am the owner from the dive shop but not from the rooms at the resort. I like to help divers who dive with us by booking a nice room for them, so all is arranged before arrival. In case you want only a room at the resort, please call 0063 - 432873136 during office hours.
Name:	Mr. Mrs.
Address:
City:
Postal code / Zip code:
Country:
Telephone:
Fax:
E-mail:
Age:
Highest Diving Certificate:
With how many persons you travel:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
How many persons go diving:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Diving gear rental:	None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
How many rooms are needed:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (max.  two adults and kids per room.)
Sort of rooms wanted:	Standard Rooms with Airconditioner Luxury Rooms with Airconditioner Standard Rooms with a Fan Budget Rooms without any luxury
Planned arrival in Manila:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / January February March April May June July August September October November December / 2006 2007 2008 2009 2010	Arrival time:	01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Hours (+/-)
Planned departure in Manila:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / January February March April May June July August September October November December / 2006 2007 2008 2009 2010	Departure time:	01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Hours (+/-)
Which airline company:
Your flight number:
Would you like to be picked up from Manila airport or your hotel?	Make a Selection Yes, i would like to be picked up at my hotel Yes, i would like to be picked up from the airport. No, i will arrange my own transport to Puerto Galera.
If yes, which date:	- - - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / - - - - - - - - - - January February March April May June July August September October November December / 2006 2007 2008 2009 2010
If from your hotel, which hotel:
In case you have additional wishes then just mention them here: