Maui Scuba Diving With Turtle Reef Divers
Information Or Reservation Request Form
Or Call Toll Free 1-877-873-4837


                                                                                                                              

Please complete form below for more information or to request a reservation. If a reservation is requested, your name and address given on this form must match the credit card given for the reservation or the reservation will not be accepted. You will be E-mailed a confirmation for your reservation. 
 | Home Page | Snorkel Molokini Crater |

Reservation or
Information
Requested

Name:

**required  info

Address:

**

City

  State:**

Other_State 

(part of your address if Other is selected)

Postal_Zip:

**

Phone:

**

Email_Address:

**Please check accuracy

Dive/Snorkl Date

( 00/00/00 Date Format )     When would you like to go?

# Divers

  Tell us how many divers your making reservations for.

Type of Dives

What type of diving would you like to do?

Divers Names

Equipment needed yes  no

# Snorkelers

  How many snorkelers you are making reservations for.

Arrival on Maui

 Days

Hotel/Condo on Maui

** Please Tell us where you will stay while on Maui.

Discount Card # 

10% Discount Card Member [ Apply Here ]

Credit card Information if a reservation is requested. Cardholders Name and address must match name above.

Credit Card

  

Card Number:

  CV2 # Last 3 # on back of card
                                                                           in the signature box.

Expiration: 

            

  I would like to be contacted by:  E-Mail         Snail-Mail                     | Discount Dive Card |

                                                     Phone        Fax

Cancellation Policy: You will receive a full refund if we are unable to confirm your booking. There is a 7.5% service charge for any cancellation of a confirmed booking. No refund for cancellations made less than 48 hours before the activity.

By clicking the Submit button this form will be mailed to our offices on Maui. You will be contacted  shortly. If you have reserved any dives you will be e-mailed a dive confirmation.

          

 Click your browser "back" arrow to return to last page or  | Home Page |


 Copyright © 1999 [Turtle Reef Divers]. All rights reserved. PO Box 13085 Lahaina, Hawaii 96761

Turtle Reef Divers contact, PO Box 13085, Lahaina, Hawaii  96761

 Toll Free # 877-873-4837