from:[email]
To:info@similan-diving-safaris.com
Subject: Online Booking Liveaboard 


Liveaboard Booking Form


Contact Information:
*********************************************

Full name:                  [full_name]
Date of birth:              [client_age]
City:                       [city]
Nationality:                [country]
Email:                      [email]
Telephone:                  [telephone_number]
Emergency email:            [emergency_email]
Emergency tel. no.:         [emtelephone_number]


Departure date:             [depdate]
Cabin type:                 [cabin]


Diver Certification:        [divcert]
Certification level:        [certlevel]
Number of dives:            [nod]
Date of last dive:          [date_lastdive]
PADI Course:                [course]

Dive computer:              [div_comp]
Underwater camera:          [dig_under_cam]

Questions or comments:
[comments]

Find us:                    [find_us]