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TEL

Reservation ・ Contact Us
(Holiday: Thursday)

0735-67-7775

MAIL FORM

Customer’s Information
Full Name(Required)
Age(Required)    years old
Sex(Required)
E-MAIL(Required)
Address
Telephone(Required)
Cellphone(Required)
Mode of transport(Required)
Requested date for diving(Required) (Start Date)
(End Date)
   ( Ex:2018/08/09 )
Approximate arrival time
Pickup service necessary?
Desired diving course Beach DivingBoat DivingFresh Water Diving (River)Personal Experience DivingOpen Water 3 DaysAdvanced 2 DaysNature GuideOther
Number of guests(Required)   
How many times have you dived?(Please fill in for your other party members as well.)(Required)
Rental Equipment Rental gear necessaryRental gear unnecessaryFull RentalRegulatorWetsuitDrysuit4 piece set (Mask, Snorkel, Boots, Fins)
For those persons requiring rental gear, please let us know your height, weight, shoe size, and eyesight (Prescription mask necessary or not).
Lunch
(600 JPY per meal)
  
Please write down any further requests you have.