Booking Form

Please enter your information in the form below to register for our BALI IDC packages.

First Name *

Last Name *

Date of Birth *

Email *

ARRIVAL DATE

DEPARTURE DATE

Comment

BALI IDC PACKAGES *

BALI IDC UPGRADES *

IDC START DATES *

BALI ACCOMMODATION UPGRADES *

SHARED FREE ACCOMMODATION ONLY

BUDGET PRIVATE DOUBLE ROOM (1 MONTH) add 135 USD (pay at dive centre)

PREMIUM PRIVATE DOUBLE ROOM (1 MONTH) add 250 USD (pay at dive centre)

BALI IDC ADD-ONS

+ EANx BASIC NITROX SPECIALTY add 125 USD

Amount

USD

Deposit Amount

USD

Payment Type

Payment Method *

Paypal (Pay Now) Offline Payment (Pay Later)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

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