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Please Fill The Form Below Carefully |
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To Print This Form Please Fill It Up and Press [Ctrl] Key + P |
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FIELDS MARKED WITH * ARE REQUIRED! |
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CORAL ISLAND RESERVATION: |
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Adult : RM120.00 , Child (3 - 11 yr) : RM110.00 |
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Please provide all the names for the ticket, and with full details. |
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Passenger Name |
Ticket
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Nationality |
Passport / IC No. |
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The ticket rate is inclusive of Government Environmental Conservation Charge of RM 5.00 |
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Departure Date:* |
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Please provide the Hotel or Resort information if you would like the free pickup to Jetty Kuah. For those who wish to go to Jetty Kuah by themselves will need to be there at 8.30 am. |
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Hotel or Resort : |
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Your Name:* |
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E-Mail Address:* |
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Phone : |
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Fax : |
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This form is transfer directly to us via SSL connection. |
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Type Of Credit Card :* MASTER VISA |
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Card No:* |
CVV No. |
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Card Holder Name:* |
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Expiry Date:* |
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Card Billing Addr:* |
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The ticket can be refunded or postpone if the weather condition is not suitable for the trip.
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Please read the Refund Policy & Cancellation period in the terms & condition page, before submit your
Credit Card information! Please take note that all confirm reservation for available services, the credit
card submitted will be charged in full according to the services reserved. We do not provide any refund
for cancellation make within 48 hours before date departure and No Show with any excuse.
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Additional Message:
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