Booking Form

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

First Name  *

Last Name  *

Date of Birth  *

Email  *

ARRIVAL DATE

DEPARTURE DATE

Comment

KHAO LAK IDC PACKAGES  *

--Select-- PADI INSTRUCTOR / EFRI (COURSE & MATERIALS) DIVEMASTER to INSTRUCTOR / EFRI RESCUE DIVER to INSTRUCTOR / EFRI

KHAO LAK IDC UPGRADES  *

--Select-- IDC PACKAGE ONLY + MSDT PREP add 20,000 THB + MSDT INTERNSHIP & STAFF INSTRUCTOR add 48,300 THB

Payment Information

Amount

THB

Deposit Amount

THB

Payment Type

Deposit Payment

Payment Method *

Paypal (Pay Now) Offline Payment (Pay Later)

Billing Zipcode*

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031

Card (CVV) Code*

Card Type*

Visa MasterCard Discover American Express

Card Holder Name*

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