Booking Form

Please enter your information in the form below to register for our INTRO TO CORAL packages.

First Name *

Last Name *

Date of Birth *

Email *

ARRIVAL DATE

DEPARTURE DATE

Comment

COURSE OPTIONS: *

INTRO TO CORAL 1 DAY COURSE ONLY 3500 THB

INTRO TO CORAL (1 DAY)
+ CORAL SURVEY (2 DAYS)
= ADD 5500 THB

Amount

THB

Payment processing fee

THB

Gross amount

THB

Deposit Amount

THB

Payment Type

Payment Method *

Bank Transfer (Pay Later) Paypal (Pay Now)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

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