Booking Form

Online Booking Form

- Personal Info -

First Name (as on passport)(*)
Please type your first name.

Surname (as on passport)(*)
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Nationality(*)
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Passport Number(*)
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EU VAT number (for invoice only)
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Gender
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- Contact Info -

Address(*)
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Postcode(*)
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Country(*)
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Phone
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Mobile (*)
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E-mail(*)
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- Diving Info -

Highest Scuba Certification(*)
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Training Agency(*)
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Number of dives(*)
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Dive Insurance(*)

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Insurer
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Valid till
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- Flight Info -

Arrival Date(*)
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Arrival Time (24h)(*)
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Flight No.(*)
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Departure Date(*)
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Departure Time (24h)(*)
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Flight No.(*)
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- Liveaboard Dates -

Embark Date(*)
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Time (24h)(*)
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Disembark Date(*)
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Time (24h)(*)
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- Itinerary -

Choose One(*)
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Please, give us a few details about what you wish to include in your itinerary on request.
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- Liveaboard Dive Package (LADP) -
(Tick (✓) one that applies)

Main(*)

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Add-on(*)

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I have chosen a full equipment dive package and I wish to include the following items:

Tick (✓) item(s) and write the size below

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Size:
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- Liveaboard Class Package -
(Tick (✓) one)

Liveaboard Class Package

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- Optional Equipment -
To better accommodate your travel, we offer the following heavy equipment items at no charge. Please, write us for availability.
(Tick (✓) item(s) and write fin size)

Optional equipment

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Fins Size
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- Additional Info -

Special dietary requirements:
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I wish to share a cabin with:
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Other special requests:
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Declaration:(*)

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Address & contact

Galinis 2

Palaia Fokaia 190 13

Greece

Tel/Fax: +30 22910 41775

Mob.: +30 6976 103254

Email: This email address is being protected from spambots. You need JavaScript enabled to view it. 

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