Miri Adex 2019 | Dive Your Choice Booking

ADEX Trip Booking Details
Fill in this section to verify your booking during the ADEX show. For the trip dates, if you have no dates in mind yet, you can leave it blank. Do update us at least 4 weeks before the trip. Spaces are subjected to availability.
Interest
Full Name*
ADEX Email Address*
Choose your Trip Date*
Your Trip End Date*
Choose Your Destination*
Choose Your Room Type*
Choose Your Room Type Non-Diver*
Are you a Diver?*
- I'm a Diver
- Non-Diver
30SGD Gear Rental Per Day
Do you require Rental Equipment?*
FULL SET RENTAL EQUIPMENT
includes:
1. Jacket BCD
2. Regulator
3. Wetsuit
4. Mask
5. Full Foot Fins
6. Weight Belt

*Note: tanks and weights are provided onboard
Individual Equipment Rental Options:*
To allow for better logistics preparation, you can help us by selecting only those equipment that you need.
- Jacket BCD
- Regulator
- Wetsuit
- Full Foot Fins
- Mask
- Weight Belt
Price
$ 0.00

YOUR BOOKING RESERVATION
Trip Dates: {Choose your Trip Date:120} - {Your Trip End Date:121}
Your Destination: {Choose Your Destination:39}
Your Room Type: {Choose Your Room Type:114}{Choose Your Room Type Non-Diver:122}
Add Ons
Would You Like to continue your education?*
PADI Advanced Diver Course
Total
$ 0.00

Personal Particulars
Full Name in Passport*
Nationality*
Date of Birth*
Gender*
Passport Number*
Passport Expiry Date*
Choose NRIC/FIN Details
NRIC / FIN Number
NRIC / FIN Expiry
MM
DD
YYYY
Certification & Dive Details
Current Diving Certification*
Number of Logged Dives*
Date of Last Dive*
Do you have any friends who are on the same trip?
Do let us know who your friend(s) is/are so that we can arrange for you guys to be in the same dive group and room. Else, grouping and room selections will be done based on diver's profile and gender respectively.
Total
$ 0.00
Acknowledgement*
- I acknowledge that the information provided in this form is provided to the best of my knowledge.

Payment
Terms and Conditions*
- I Agree Terms and Conditions
Total
$ 0.00
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Thank you for signing up with us at ADEX 2019!