Paya Beach Resort

Full Name:
Contact Number :
E-Mail:	(*required)
Certification Agency:
Level of certification:		Number of dives to date:
Date of Dive activity:	- -
Date of arrival:	- -	Time of arrival:
Date of departure:	- -	Time of departure:

I wish to book on...	Dive Programmes (include equipment rental) Bubblemaker - RM 100 Discover Scuba - RM 100 Discover Scuba Diving - RM 150 Refresher Programme - RM 140	Dive Courses Open Water Diver (Basic) - RM 800* Advance Open Water Diver - RM 600* Emergency First Aid Response - RM 350* Rescue Diver - RM 700 Divemaster - upon request**
	Leisure Dives (exclude equipment rental) Single Boat Dive - RM 75 Single Boat Night Dive - RM 105 Shore Dive - RM 40 Shore Night Dive - RM 75	Leisure Dives Packages Two Boat Dives (include equipment rental) - RM 200 Four Boat Dives(exclude equipment rental) - RM 280
	Equipment Rental (per day) Buoyancy Compensator - RM 35 Regulator - RM 35 Wetsuit - RM 25 Mask & Snorkel - RM 8 Fins - RM 7	Torchlight (Small) - RM 25 Torchlight (Medium) - RM 30 Dive Computer - RM 40 Equipment Package rental (BCD & Regulator & Wetsuit) - RM 80

Notes / Request:

Method of Payment :

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Credit Card Number :

(required)
kindly present same credit card upon check-in day at Resort

Expiry Date :

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Once your reservation request is confirmed, the full non-refundable payment is required by banking into our bank account or deduction made through your credit card. Our bank details are as follows:

Account Name:	Paya Beach Resort Sdn. Bhd.
Name of Bank:	AmBank (M) Berhad
A/C No:	068 201 200011 1 (Mersing Branch)
Swift Code:	ARBKMYKL
Company Registration No:	416417-A