Booking Form

Your Name* :

Your E-mail Address* : (Please check your e-mail address!)
Your Postal Address :
Your City, State, Country & Post Code :
Your Fax : Your Phone :

Total number of people in your group : Number of certified divers :

Number of snorkellers : Number of non-divers/snorkellers :

When will you arrive in Exmouth?

When will you leave Exmouth?

How will you leave Exmouth? By Plane, Greyhound/Integrity Bus or Car?

Do you require accommodation ? Yes No

Plan your holiday, what activities are you interested in ?

(multiple choice selection, select activities by clicking on left-hand box and completing details.)

Whale Shark Tours (late-March - June, every day from 7:00 am to approx 5:00 pm)

How many days? How many divers? How many snorkellers?

PADI Whale Shark Specialty Course (Exclusive to Exmouth Diving Centre & Ningaloo Reef Dive)

How many divers?

Muiron Islands/Mandu Wall full day (Wed & Sun all year; Wed, Fri, Sun April, May & June; 7:30 am to approx 5:00 pm)

How many days? How many divers? How many snorkellers?

Ningaloo Reef SCUBA Diving Tours (every day, 2 boat dives)

How many days? How many divers?

Point Murat Navy Pier Dive  

Daytime Pier Dives : How many days? How many divers?
Night Pier Dives : How many nights? How many divers?

Ningaloo Reef Snorkelling Tours  

How many days? How many snorkellers?

Learn to SCUBA Dive - PADI Open Water Diver Course

How many people? (starts every Tuesday & Friday, 5 days, 8:30 am - 5:00 pm)

PADI Advanced Open Water Diver Course (3 days - 6 dives!)

How many divers? (prerequisite Open Water Diver Certification)

PADI Rescue Diver Course (3 days, includes Emergency First Response course)

How many divers? (prerequisite Advanced Open Water Diver Certification)

PADI Divemaster Course (minimum of 4 weeks)

How many divers? (prerequisite Rescue Diver Certification + Emergency First Aid)

PADI Instructor Development Course (IDC, next course May 2005)

How many divers? (prerequisite Divemaster Certification)

Other PADI Specialty Courses

How many divers? Which specialty? (specify)

Diving Gear Rental

Number of people requiring tanks & weights only :
Number of people requiring all equipment :
Other questions, requests & comments.