Masa Dive Saipan
Reservation form
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Reservation form
First name
M
F
Required
Family name
Required
Phone number
Required
E-mail
Required
E-mail
again
Required
Age
years old
Under20
21-25
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65
Over66
How many Pax
Choice
1
2
3
4
5
6
7
8
9
10
Any further
Arrival
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
o'clock
00
05
10
15
20
25
30
35
40
45
50
55
minutes
Flight
Airlines
Choice
SKYMARK
T-WAY
UNITED
JEJU AIR
ASIANA
Other
Flight number
Departure
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
o'clock
00
05
10
15
20
25
30
35
40
45
50
55
minutes
Flight
Airlines
Choice
SKYMARK
T-WAY
UNITED
JEJU AIR
ASIANA
Other
Flight number
Hotels
Choice
Mariana Resort Hotel
Kensington Hotel
Plumeria Hotel
AQUA RESORT CLUB
Hyatt Regency Saipan
Crowne Plaza Resort
HANAMITSU Hotel
Granvilio Resort
Holiday Saipan Resort
Ocean View Hotel
Himawari Hotel
Victoria Hotel
Summer Holiday Hotel
World Resort Hotel
Kanoa Resort Hotel
Aquarius Tower
Chalankanoa Beach Club
P.I.C
Coral Ocean Point
Masa Dive Guest House
Other
Dive schedule
From
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
to
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Desired course
Choice
Introduction Dive
Fun Dive
Boat Snorkelling
Advance License
Grotto Snorkeling
Other（Fill in the desired field）
Last dive
Choice
2022
2021
2020
2019
2018
2017
2016
Before that
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Experience dive
Choice
Inexperienc
1〜10 Dives
11〜20 Dives
21〜30 Dives
31〜50 Dives
51〜100 Dives
More than 101
Hope etc.
(Please write the names of accompanying people)
Payment
US $、
Traveler's check
、
Credit cards
（
Except American Express
）
・（
Credit card usage
５％TAX ）
For the time being, card payment will be suspended.
You can only pay in cash!
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