Reservation | Splash Dive Center

Reservation

This form allows you to make a reservation for 2-BOAT DIVING.
After we receive your reservation, we will send you a 'Reservation Confirmation' via email.
Please note that your reservation will be considered complete only after you receive the confirmation.

If you’re a non-diver interested in Discover Scuba Diving, please contact us using the inquiry form.

Diver Reservation Form

Input
Confirm
Complete

If you’re a non-diver interested in Discover Scuba Diving, please contact us using the inquiry form.

Group reservations should be made by the group leader.

Contact Name *

First Name
Last Name

Please enter the name exactly as it appears on your passport.

The Last/Family Name field is required. Please fill it in.

The First/Given Name field is required. Please fill it in.
Email *

The Email address field is required. Please fill it in.

You must provide a valid email address.
Phone *

The Phone number field is required. Please fill it in.

Travel Information

From which country or city are you traveling? *

The country or city field is required. Please fill it in.
Arrival Date and Flight to Palau *

Arrival date

Flight #

The Arrival Date field is required. Please fill it in.

The Arrival Flight number field is required. Please fill it in.
Departure Date and Flight from Palau *

Departure Date

Flight #

The Departure Date field is required. Please fill it in.

The Departure Flight number field is required. Please fill it in.
Hotel Name *

The Hotel name field is required. Please fill it in.

Guarantee Information

We accept VISA, MasterCard, JCB, and Diners Club.

Card Type *

Card Type

Card Type field is required. Please fill it in.
Card Number *

Card Number

Card Number field is required. Please fill it in.

Please enter a number.

Invalid number of digits.

Invalid number of digits.
Name on Card *

Name on Card

Name on Card field is required. Please fill it in.
Expiration(MM/YY) *

Expiration(MM/YY)

Expiration field is required. Please fill it in.

Reservation Request

2-Boat Diving - Exclusively for Certified Divers

Preferred Diving Dates *

First day of diving - Last day of diving
If you are diving for only one day, please select the same day for both the first and last day. If there are days you will not be diving or if the number of participants varies from day to day, kindly inform us in the comments section below.

The First day of diving field is required. Please fill it in.

The Last day of diving field is required. Please fill it in. If you are diving for only one day, please select the same day for both the first and last day.
Number of participants *

Number of participants

Number of participants field is required. Please fill it in.

Requests/Comments

Please let us know if you will not be diving on certain days, if the number of participants varies from day to day, or if you have any other requests.

Comments

*Your personal information will be used only to respond to your reservations and inquiries.

Please review and agree to the Privacy Policy.

The Last/Family Name field is required. Please fill it in.

The First/Given Name field is required. Please fill it in.

The Email address field is required. Please fill it in.

You must provide a valid email address.

The Phone number field is required. Please fill it in.

The Hotel name field is required. Please fill it in.

The country or city field is required. Please fill it in.

The Arrival Date field is required. Please fill it in.

The Arrival Flight number field is required. Please fill it in.

The Departure Date field is required. Please fill it in.

The Departure Flight number field is required. Please fill it in.

The First day of diving field is required. Please fill it in.

The Last day of diving field is required. Please fill it in.

Number of participants field is required. Please fill it in.

Card Type field is required. Please fill it in.

Card Number field is required. Please fill it in.

Name on Card field is required. Please fill it in.

Expiration field is required. Please fill it in.

Please review and agree to the Privacy Policy.