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Day Dive Excursions to Lembongan Booking Form

Please fill in all fields
 
*First Name- required
 
*Last Name- required
  *Email- required
     
  Accommodation in Bali
  Hotel or Villa Name - leave blank if unknown
  Hotel Area ( ie. Kuta, Nusa Dua )
  Room No - if already check-in and known
  Arrival Date  
   
  If not currently in Bali please provide
 
Telephone (with area code)
 
Fax (with area code)
     
  Safaris Information  
  Requested Date
  Requested Time
  Programs
(Select below)
  • Discover Scuba - US$ 89.00/person/nett/inc.equipment
  • Lembongan Bay Day Dive - US$ 85.50/person/nett
  • Adrenaline Dive Safari - US$ 98.00/person/nett
  •      
     
    Diver Information joining Lembongan Day Dive Diver Experience*
    No. People Age No.Dives Date Last Dive Depth
    Program
    Name /mtr
    Name /mtr
    Name /mtr
    Name /mtr
      * Lembongan Dive is suitable for newly certified divers or those with limited experience.
     
    How did you learn about BaliSafaris.com ?
       
     
    Notes:
    Rate Inclusive of 21 % Gov't Tax & Service Charge. No Hidden Charges
    All reservations subject to availability
    Reservation not confirmed without Booking Confirmation Code
    Rates subject to change without notice
     
    Day Dive Excursions to Lembongan Payment and Cancellation Policy, Read Carefully.
  • Payment must be guaranteed by credit card to confirm reservation.
  • Cancellation less than 24 hours prior to tour departure or no show, no refund.
  •   Questions or additional dive/accommodation requests

         

       


    Return to: Lembongan Dive Page 

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