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Name
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Telephone(home or mobile)
E-mail
What is your arrival date in OSHIMA ?
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Where will you stay in OSHIMA ? (If you know)
Would you like us to reserve your hotel？
Yes
No
What is your price range for a hotel
Exclusive hotel \12000〜\15000
Common hotel \7000〜6500
Common hotel (Without meals) \3000〜5000
What are the dates you would like to go diving in OSHIMA？
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How many people will go diving？
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Do you have a diving license?
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Approximately, how many dives have you ever had ? (For each person)
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