Booking your surfing expedition to Indonesia is a simple process. Just fill out all of the information below and submit the form to us. We will contact you within two business days with complete details of your tour including all pertinent information regarding your accommodation, surf charter and verification of payment. The form must be completed in fullin order to insure prompt and satisfactory service.

First Name

Last Name

Section 1. General Information

Address

City

State

Post Code

Country

Tel:

Fax:

Section 2. Accommodation Requirements

Would you like us to pick you up at the airport?

Yes

No

Do you require accommodation?

Yes

No

If yes, Before your boat tour you will need accommodation...

From:

After your boat tour you will need accommodation...

Until:

E-Mail Address (important)

If you DO NOT require airline tickets or accommodation, the following is required:

Flight # and Name of airline:

Departure Date: (mm/dd/yy)

Departure City:

Name of the surf tour package :

How many days would you like ? :

Section 3. Passport Information

Passport #:

Issue Date:

Place of Issue

Expiry Date:

Date of Birth

Nationality:

(mm/dd/yy)

(mm/dd/yy)

Section 4. Tour Deposit Requirements (Wire transfer)

Number of persons to book

1

2

3

4

5

6 (maximum)

If you are booking for more than one person, include the names of additional passengers below.

2nd Person

3rd person

4th person

5th person

6th person

Total number of persons to book:

X US $ 200.00 deposit per person =

Total of balance due upon arrival:

Total amount to be transferred or collected upon arrival to secure your reservation: (# of persons X US $ 200.00)

Section 5. Credit Card Information (to secure reservations only!  NOT FOR PAYMENT!

Name as it appears on Credit Card

Visa

Mastercard (select one)

Card Number

Expiration Date

mm/yyyy  example: 01/2001

Balance for all bookings is due on arrival and must be in cash or travelers checks.

Last but not least, we need to know your surfing skill level.  Please select below:

Professional

Advanced

Intermediate

Beginner

Important: Travel insurance and medical insurance are recommended..

Check out Indo Surf & Lingo here!

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