Name
(required)
No.of Adult
Age
60yrs below
60yrs up
Address
Email
(required)
Tel
Bookings
Questions
Package Tour w/ Air Ticket
Package Tour w/o Air Ticket
Other
Arrival Date & Flight #
no plan
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
---
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
---
2007
2008
2009 Flight #
Departure Date & Flight #
no plan
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
---
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
---
2007
2008
2009 Flight #
Destinations
Koror
Peleliu
Other
Koror Hotel
Maml-booking
Self-booked
Airport Transportation
Maml-booking
Self-booked
Peleliu Hotel
Maml-booking
Self-booked
Transportation between Koror and Peleliu($70/pp by speed boat)
Maml-booking
Self-booked
Dive
--
2 Tank Dive
3 Tank Dive
1 Tank Dive
---
no plan
1 day
2 days
3 days
4 days
5 days
6 days
7 days
8 days
9 days
10 days
11 days
12 days
2 weeks
one month
more days
1st Activities
---
2 Tank Dive Introduction
PADI Open Water Diver Course
PADIAdvanced Open Water Course
Water Fall Tour
Peleliu Land Tour
Fishing Tour
Kayak Tour
Other Date
---
no plan
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
2nd Activities
---
2 Tank Dive Introduction
PADI Open Water Diver Course
PADIAdvanced Open Water Course
Water Fall Tour
Peleliu Land Tour
Fishing Tour
Kayak Tour
Other Date
---
no plan
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
Comments