Deep Sea Fishing / Diving Charters

CHARTER INQUIRY / RESERVATION / OR ADD ME TO YOUR MAILING LIST FORM

Name:
Email Address:
Contact phone number:
Desired Charter Date:
Diving Info Section (Please fill out this section if you are trying to schedule a Diving Trip)
Length of Dive Trip:	2 tanks 3 tanks 4 tanks
What time would you like to go for a boat Dive?	0800: Morning 1300: Afternoon 1800: Night
Requested Dive location:	Awase Port: Ikei Island, Tsuken Island, Kudaka Island, etc... Onna Port: Manza Dream Hole, Diamond Beach, Seragaki, etc..
Your level of diving certification:	Please select one... open water advanced open water rescue diver dive master assistant instructor instructor other
Number of Divers in your party?	1 2 3 4 5 6 7 8 9 10+
Fishing Section (Please fill out this section if you are trying to schedule a Fishing Charter)
Do you require fishing guide?	yes no
Any health issues we should know about?
Activities desired in Fishing Charter:	Deep Sea Fishing (payao) Inshore Fishing Reef Fishing Jiggin, Lure, Tenbin Fishing Night Fishing
Number of Anglers in your party?	1 2 3 4 5 6 7 8 9 10+
Equipment needed:	Rod and Reel Extra Bait trays (kibinago 2,000 yen per tray)
Additional comments or information (Ie. I need two fishing rods):	</td> </tr> <tr> <td colspan="2" align="center" bgcolor="#000000" valign="top"><span class="style23 style19">Please add me to your Distro! </span></td> </tr> <tr> <td valign="top"> <strong>Please add me to your Distro list for updated Diving and Fishing reports! </strong> </td> <td valign="top"> <input name="field-7283622cef565b4[]" id="field-7283622cef565b4_0" value="Yes" type="checkbox" /> Yes<br /> <input name="field-7283622cef565b4[]" id="field-7283622cef565b4_1" value="No" type="checkbox" /> No<br /> </td> </tr> <tr> <td colspan="2" align="center"> <input value=" Submit Form " type="submit" /> </td> </tr> </tbody></table> </form> <br /><center> <p><font face="Arial, Helvetica" size="1"><b> <a href="http://www.response-o-matic.com">create web form</a> </b></font></p> <p> </p> </center> <!-- End Response-O-Matic Form -->   <p class="style1 style8"> </p> </div> <p> </p> <div id="copyright"><big>Copyright @ 2011 OkiDiving, Call <span class="style14">Captain David <span class="style12">090-5290-9232</span> or Captain Chris <span class="style12">090-9788-0282</span> </span>Contact us: <a href="mailto:okidiving@gmail.com">OkiDiving</a></big></div> </div> </div> <div class="style1">Content for class "style1" Goes Here</div> <!-- all credits to csstemplate heaven--> </body></html>