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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:2022/07/01 )

    Requested area for diving(必須)

    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 RentalRegulatorBCWetsuitDrysuit4 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
    (700 JPY per meal)

      

    Please write down any further requests you have.