1. Address Data:
 
Name:  (*) necessary
Street: (*)
City: (*)
Country: (*)
Email: (*)
Phone:
 
2. Transfer from Bangkok to Leam Klong Resort:
 
Transfer: Persons: Children:
 
3. Accommodation Leam Klong Resort:
 
Arrival Day: (*)
Departure Day: (*)
Bungalow: Persons:
 
4. Diving Reef Rider Divecenter:
 
Dive Courses:    Divers:  
Fun Dives:        Divers:  
Own Equipment:   yes
 
5. Other:
 
Comments:
 
 
6. Finish: