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Fields with star are mandatory
Name :	*
First name :	*
Email :	*
Address :
City	*
Postal Code :
Country	*
Places To Stay ?
Places:	*	Manado Bunaken Lembeh Combined Not decided yet
Which Resort/Boat are you interested in ?
Resort/Boat:	*	Bastianos Lembeh Bastianos Bunaken Cocotinos Manado Divers Lodge Lembeh Kima Bajo Manado Tasik Ria Manado Paisabatu Ocean Rover Not decided yet
Number of Day/Night :	*	2 days/3 Nights 3 Days/4 Nights 4 Days/5 Nights 5 Days/6 Night 6 Days/7 Nights 7 Days/ 8 Nights 8 Days/ 9 Nights 9 Days/ 10 Nights 10 Days/ 11 Nights 11 Days/ 12 Nights 12 Days/ 13 nights 13 Days 14 Nights 14 Days/ 15 Nights
Additionals Nights
Nights:		0 1 2 3 4 5
Diving Level
PADI, CMAS, SSI :	*	N 1 or Scuba Diver/Junior Open Water PADI N 1 experimented (+20 Dives) N 2 or Open Water Diver PADI Advanced Open Water PADI N 3 or Rescue Divers PADI N4 MF1/Divemaster PADI or equivalent Professionnal : OWSI PADI or equivalent
Your Dates :
From :	*
To :	*
Budget per diver:		500€ A 600€ 600€ A 700€ 700€ A 900€ 900€ A 1100€ 1100€ A 1300€ 1300€ and over
Type of Rooms :	*	Twin Double Triple Simple
Confort Room :		Standard Luxe Master
Number of person :
Adults:		1 2 3 4 5 6 7 8 9 10 10+
Children (-18 ans):		0 1 2 3 4 5 +
Additional informations
How did you know us ?
With:	*	Google Another Search Engine Forum Commercial Course with Olivier or Valerie Liveaboard with Olivier or Valerie