I would like to reserve the below-mentioned persons on the
following Dive Holiday Arrangement:

Destination/Resort/Hotel/Boat:

Departure Date:  Return Date:

Special Requirements:

YOUR DETAILS

Full  Name:
Title:  Mr  Mrs  Ms  Dr
ID Number:
Passport Number:
Nationality:

Residential Address:

Postal Address:

Telephone:
Home: Work:
Cell:
Email:

FAMILY/COMPANION DETAILS

Spouse Name:

Child 1 Name:

Child 2 Name:

Child 3 Name:

I hereby secure the booking with a deposit of
R2000 per person i.e. Choose one x 1 = R2000 x 2 = R4000 x 3 = R6000 x 4 = R8000 x 5 = R10000

Credit Card Type: Choose one VISA MASTERCARD AMERICAN EXPRESS

Payment Method: Choose one Straight/InFull 6 Months 12 Months 18 Months 24 Months 36 Months

Credit Card Number:

Expiry Date: Month/Year:

Three digits printed on the reverse of your card:

By checking this box, I am authorising Reefcomber Tours to charge my credit card for the amount selected above.

The balance of the tour price will be paid by Choose one Cash Credit Card Cheque Bank Transfer

I have read and accept the CONDITIONS OF CONTRACT

I am of age and authorised to effect reservations and accept the conditions applying thereto, on behalf of all those detailed above

Thank you for booking a Reefcomber Tours Dive Holiday with us. You will receive confirmation within24 working hours, and all the necessary documentation, information, will be sent to you without delay.

Yours sincerely

Andre Nel
Reservations Manager
Reefcomber Tours