Hin Daeng and Similan Islands Liveaboard Booking Form

To book your place on the Hin Daeng and Similan Islands liveaboard, please fill in the booking form below. If there’s any part you’re not sure about, just leave it blank. We’ll be in touch as soon as we receive your booking!

MV Flying Seahorse Liveaboard Booking Form

Liveaboard Departure Date

Type Of Cabin

Personal Details:
Your Name (required)

Your Email (required)

Your Nationality (required)

Your Age (required)

Special Dietary Requirements? Please let us know

Your Residential Address

Your Phone Number

Scuba Diving Details:
Your Dive Certification:

Dive Certification Agency

Number Of Dives

Date Of Last Dive

Do You Have Dive Insurance?
 Yes No

If no, we recommend World Nomads travel insurance that includes scuba diving coverage

Emergency Contact Information
Emergency Contact Name (required)

Emergency Contact Phone Number

Emergency Contact Address

Your Dive Gear Sizes
(If you are learning to dive with us, you do not need to fill in this part)

I Will Bring My Own Dive Gear  Yes

BCD

Fins

Wetsuit

Dive Computer - 250 Baht per day  Yes

Digital Camera - 1200 Baht per day  Yes

Dive Courses - please check all that apply
PADI Open Water Course 11000 Baht  Yes

PADI Advanced Open Water Course 9900 Baht  Yes

PADI Rescue Diver Course 9500 Baht  Yes

Emergency First Responder Course 4500 Baht  Yes

PADI Divemaster Course 36000 Baht  Yes

Any Further Comments? Let Us Know

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How can we help you? Let us know!

I Want To...

Full Name

Nationality

Email Address

Number Of People:

Date of Arrival

Date of Departure

Tell Us More About How We Can Help

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