Booking Form

Please enter your information in the form below to register for our LEMBONGAN MSDT packages.

First Name *

Last Name *

Date of Birth *

Email *

ARRIVAL DATE

DEPARTURE DATE

Comment

LEMBONGAN MSDT OPTIONS *

PADI MSDT PREP ONLY 610 USD

PADI MSDT INTERNSHIP (10 SPECIALTIES) 1,360 USD

LEMBONGAN MSDT UPGRADES

ADD PADI STAFF INSTRUCTOR + 970 USD

Amount

USD

Payment processing fee

USD

Gross amount

USD

Deposit Amount

USD

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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