Contact form
1 Enter information
2 Content confirmation
3 completion
Please enter your message here and then send it.
*If you do not receive a reply within 48 hours, please contact us by email (andive@nifty.com) (please also check your spam folder).
name
※
様
gender
※
male
female
age
※
country
※
email address
※
For confirmation
Phone number/ WhatsApp
※
Preferred method of return contact
※
email
WhatsApp
any
Number of experiences
※
Desired date of participation
※
year
01
02
03
04
05
06
07
08
09
10
11
12
month
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
How many days will you dive?
※
1day
2days
3days
4days
Accommodation
※
Participating courses
※
Kerama 3-Boat Diving
Kerama 2-Boat Diving
Half-day boat diving(AM)
Half-day boat diving(PM)
Rental gear
※
Yes
None(Bring your own gear)
If you would like to rent equipment, check the necessary items.
All
BCD
Regulator
Wetsuit
Mask
Fins
Dive Computer
SMB
Rental Information
height
cm weight
kg foot size
cm
message
If multiple people are participating
If you are registering for more than one person, please copy and paste the following information into the form.
Participant 2
Name:
Email address:
Phone number:
Address:
Number of hours of experience:
Preferred rental equipment: yes or no
Equipment you would like to rent:
(Please also enter height, weight and foot size.)
Our cancellation policy (regular period)
① Cancellations up to 6:00 PM seven days prior to the event: Free
② Cancellations after 6:00 PM seven days prior to the event but up to 6:00 PM the day before: 50% of the course fee
③ Cancellations after 6:00 PM the day before the event but on the day of the event: Full course fee
return to top
confirm