| Your Contact Details |
| Your Name (First Name, Initial, Last Name) |
|
| Phone |
|
| E-mail Address |
|
| Select Your Tour |
|
Ocean Free Sail Green Island
|
Ocean Freedom Cruise Upolu Cay
|
| Adults @ $119.00 each |
|
| Children @ $75.00 each |
14yrs and under |
| Family @ $349.20 |
2 Adults + 2 Children 14 yrs and under
|
| Optional Diving Extras |
| First time dive x 1 $75.00 |
Number of people doing a first time dive |
| First time dive x 2 $110.00 |
Number of people doing 2 first time dives |
|
|
| Certified dive x 1 $55.00 |
Number of people doing 1 certified dive |
| Certified dive x 2 $75.00 |
Number of people doing 2 certified dives |
Optional Coach Pickup
This amount is payable to the bus driver on day of travel. |
| Coach pickup from inner city $10.00 return |
Tick for coach pickup from city |
Coach pickup from outer city/
northern beaches is $15.00 |
Tick for coach pickup from beaches |
| We will meet the boat ourselves |
Tick here to get to the vessel yourself (boarding info) |
| Name of accommodation in Cairns |
|
| Tour Date |
| Date you want to start tour |
|
| Credit Card Details |
Amount
|
$10 (EMC/RAM/Port/admin) reef charges per person is included in this total. |
Name of Credit Card Holder
(Should be the same as above) |
|
| Credit Card Type |
|
Credit Card Number
|
|
| Card Expiry Date |
Month
Year
|
| Other Comments or Requests Regarding Your Tour |
|
