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Booking Form for Raya Yai Island           Accommodation — Transfers — Diving
                                           Accommodation at Ban Raya:
Check in date:
Check out date:
Name:
Email:
Nationality:
No. of persons:
No. of rooms:
Type of room:
No. of extra beds:
 
Transfers:
Pick up place:
 

Pickup details (hotel name & address, flight arrival time, other details):
 

Pickup from airport, one night in Crystal Beach hotel (Phuket), Transfer the next morning to Raya Yai by speed boat

Pickup from airport, transfer to Chalong Bay and by private longtail boat to Raya Yai

Pickup from airport, transfer to Chalong Bay and by private speedboat to Raya Yai

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Dive Trips: —————————————————————————————————————————————————————————
Dive Trips for Certified Divers (Diver No.1)
Name:
Start date 1st dive:
how many dives:
 approxim.
Diver level:
No. of dives:
Last diving date:
   Equipment needs:
        
BCD:
Regulator:
Wetsuit:
Boots:
Fins:
Mask:
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Dive Trips for Certified Divers (Diver No.2)
Name:
Start date 1st dive:
how many dives:
 approxim.
Diver level:
No. of dives:
Last diving date:
   Equipment needs:
        
BCD:
Regulator:
Wetsuit:
Boots:
Fins:
Mask:
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Dive Trips for Certified Divers (Diver No.3)
Name:
Start date 1st dive:
how many dives:
 approxim.
Diver level:
No. of dives:
Last diving date:
   Equipment needs:
        
BCD:
Regulator:
Wetsuit:
Boots:
Fins:
Mask:
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Dive Trips for Certified Divers (Diver No.4)
Name:
Start date 1st dive:
how many dives:
 approxim.
Diver level:
No. of dives:
Last diving date:
   Equipment needs:
        
BCD:
Regulator:
Wetsuit:
Boots:
Fins:
Mask:
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PADI Courses & Programs: ———————————————————————————————————————————————
PADI Courses & Programs (Student No.1)
Student name:
Course dates:
 - 
Program/Course:
Equipment needed:
Height (cm):
        Weight (kg):          Shoe:
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PADI Courses & Programs (Student No.2)
Student name:
Course dates:
 - 
Program/Course:
Equipment needed:
Height (cm):
        Weight (kg):          Shoe:
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PADI Courses & Programs (Student No.3)
Student name:
Course dates:
 - 
Program/Course:
Equipment needed:
Height (cm):
        Weight (kg):          Shoe:
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PADI Courses & Programs (Student No.4)
Student name:
Course dates:
 - 
Program/Course:
Equipment needed:
Height (cm):
        Weight (kg):          Shoe:
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special requests / notes / questions

Thank you. We will get back to you by email as soon as possible to confirm your bookings.

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