| First Name: |
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| Second Name?
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| Nationality?
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| About you? |
Go for it male surfer
Go for it
female surfer
Laid back male
surfer
Laid back
female surfer
Want
to learn to surf better
Non surfer
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| What kind of surf trip interests
you most? |
Flexible
7 nights Island based all the way
14 nights Island
based split between two resorts
14 nights
Island based (7) and yacht based (7) combo
7 nights
Boat based only
14 nights Boat based
including 2 nights ashore
I would like to stay
longer than 14 nights
Dont surf but
want to see the islands - 7 nights
Dont surf
but want to see all the islands - 14 nights
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| If you would like to spend all
of part of your vacation on a Boat, which boat would you prefer?
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Flexible
Lautan
Megah (100 ton ship)
Sanssouci
(80ft motor sailer)
Electric
Lamb (60ft yacht)
Kerrisma
(60ft fast Cat)
Naga Laut
(80ft motor boat)
Expedition Boats (80ft motor
boats)
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| How many in your group?
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| Are you ok to share with others?
(*prices indicative only) |
Yes, I'll share at $190 per
night*
Private room
just for me please at $250 per night*
We want
to book the entire resort (from $1,900 per night)
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When would you like to come?
(Give us a date range Month & Year so we can confirm space.
Please remember that our ship leaves Padang every Tuesday evening
and returns Monday evening arriving Tuesday morning 5am) |
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| What other notes would you like
to make or questions would you like to ask? |
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| Check the boxes if you are interested
in any of the optional extras below: |
Accommodation in Padang
Game fishing
Scuba diving
Snorkeling
Mountain
Biking on Nyang2 Island (subject to conditions)
Kayaking
Treking to see Mentawai
tribal villages
Airport
pick-up in Padang
Mountain expedition
after/before my surf vacation
Helping with
community work or Island-Aid clinics
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| Email Address:
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