Order form diving and swimming with dolphins
First name
*
Last name
*
E-mail
*
Fax:
Phone
*
I will stay at:
Date you wish to visit:
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April 2018
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*
Select the activity, the number of participants and the hour you prefer in the table below.
Activity
Hour
Amount
Price
Swimming with dolphins - Child
09:00
10:00
11:00
12:00
13:00
0
1
2
3
4
5
6
7
8
9
10
11
12
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16
Swimming with dolphins - adult
09:00
10:00
11:00
12:00
13:00
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Introductory Dive with Dolphins - Child
08:30
09:30
11:30
13:30
14:30
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Introductory Dive with Dolphins - adult
08:30
09:30
11:30
13:30
14:30
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
This price is a web order discount price.
Total charge in NIS
*
Each participant has read and accepted the eligibility requirements and cancellation policy.
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to view the form
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Yes
Please send confirmation of my reservation by:
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Payer Details
Full name of card holder:
ID number:
Credit card type:
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Number:
Expiry date:
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