Pre-CheckIn Form

Please fill in the following form, prior to your arrival and help us to give our guests the best service possible.

Your Information
First Name
Last Name
Your Email Address
Arrival Date (dd-mm-yyyy)
Departure Date (dd-mm-yyyy)
Dive Certification Level
Total Number of Dives
Nitrox Certification	Yes No
Last Dive (when?)

Equipment Rental
Please check boxes and indicate the sizes:
Wetsuit	Size:
BCD	Size:
Regulator
Fins	Size:
Mask/Snorkel	Size:
Weight Belt
Weights	KG:
Computer

Other Requests

DIN Regulator

Nitrox Diving

Diving Course

Open Water Diver Advanced Diver Rescue Diver EFR Divemaster Nitrox Diver Deep Diver Photography Drift Diver Other (Please specify):

Other necessities (food requirements, private guide, etc.):

Insurance:

We strongly suggest to get your own diving insurance coverage before you come here. In Manado there is a hyperbaric chamber, but in case of need it is very expensive to use. If needed, you can buy your insurance with INDEPTHS at the moment of you arrival here. I need an insurance:

Any other comment:

• Tasik Ria Resort Manado
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• Matana Spa
• North Sulawesi Adventure
• Location
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• Testimonials
• Rates
• Contact/Enquiry Form

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March 2012

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