| your expedition |
great white shark |
| trip date |
|
| information | |
| date of
birth * |
month
day
year
|
| special code | leave blank
if none |
| first
name * |
last name *
|
| e-mail
* |
|
| city
* |
state *
country *
|
| postal
code * |
work phone
|
| home
phone * |
mobile phone
|
| |
date of passport *
|
| passport place of issue * |
passport nationality
*
|
| vegetarian |
where have you been traveling or diving
in the last three years?
|
have
travel insurance
(strongly
recommended) |
1)
|
have
diving insurance
(strongly
recommended) |
2)
|
|
3)
|
|
4)
|
|
5)
|
| payment |
non-refundable
deposit required = 33% of trip price
expedition pricing = departure 1:
- adventure price: $5,900
deposit required: $2,000
departure 2:
- adventure price: $4,900
deposit required: $1,600
all prices exclude airfare and are based on double occupancy
/ 33%
= $X,XXX
deposit
|
|
payment amount
deposit ($X,XXX)
full payment (departure 1:
- adventure price: $5,900
deposit required: $2,000
departure 2:
- adventure price: $4,900
deposit required: $1,600
all prices exclude airfare and are based on double occupancy
)
|
|
payment method
paypal
bank transfer
check
|
|
|
