Virgin islands of the Philippines

To provide you, as our valued customer, an accurate information we need to know more about your, and your requirements. It would be much appreciated if you can spend a little of your time to fill up the following forms.

If this is your first time using our forms, kindly fill up all the fields. This may be strict for you, but it only takes a few minutes, and all will be done, once for all.

Our company being respectful of the individual freedom rights guarantees you not to use any of the informations you are giving to us for any other purpose than to make your holidays "GREAT"!

Your e-mail address:
Your URL:	http://www. (optional)

How many adults (13 years old and above) will be coming?	(including you)
How many children (12 years old and below) will be coming?

Last Name:

Mr. Mrs. Miss

First Name:

Occupation:

Phone:

(Home)
(Work)

Fax:

Address:

(Street)	(No.)
(Town/City)
(State/Province)
(Country)

SERVICES YOU ARE REQUESTING FROM OUR COMPANY

A. HOTEL BOOKINGS:

To view our list of recommended hotels, click here.

Do you want us to make your hotel reservation? Yes No

	Number of Rooms:
	Number of Nights:
	First-Choice Hotel:
	Second-Choice Hotel: (if the first one is fully-booked)

Date of Arrival at Mactan International Airport:

(Day)

(Month)

(Year)

	FLIGHT NUMBER:
	ARRIVAL TIME:
	COMING FROM:

One of our stewardesses will welcome you at the Airport and will accompany you to your Hotel or to our Nautical Base.

B. OTHER SERVICES OR PACKAGES YOU MIGHT BE INTERESTED IN:

LAND TOURS
	Kawasan Falls	Paradise Valley	Cebu Handicrafts
	Sumilon	Golf Tour	Cockfights
	Night Tour	Hostess-Interpreter (English/Cebuano)	Other (please specify)
	City Tour expanded version w/ meal in a Japanese restaurant expanded version Mactan Island & meal at the Fish Market restaurant

SEA TOURS
	Fishing Party	Snorkeling	Musical Dinner
	Sunset Cruise	Afternoon & Sunset Tour

OVERNIGHT STAY

		Cabilao Island
		Inanuran Island

EXCURSIONS TO OTHER PLACES
	Banaue	Boracay	Palawan
	Leyte	Moalboal	Other (please specify)

DIVE CRUISES

Departure Date:

(Day)

(Month)

(Year)

"DISCOVERY" TOUR PACKAGES

	12 days 7 days 6 days
	Departure Date:	(Day)	(Month)	(Year)

C. SPECIAL STUDY/CANVASSING:

Do you want us to do a special study for you? Yes No

Tell us what activities you're interested in and what your budget is and we'll make a study and prepare a package for you.
We will provide this study/canvassing service Free of any charges.

Priority activities you wish to have:

Island Discovery
Diving
Trekking
Climbing
Other

Number of days:
Starting day:	(Day)	(Month)	(Year)

Number of people:
Budget per Person per Day:	U.S. $	(excluding/without Airfare and Airport Taxes)

REMARKS / OBSERVATIONS

DIVERS' INFORMATION SECTION

Are you a diver? Yes No

Please indicate your diving license(s):

PADI NAUI CMAS NASDS
Other

Please indicate your diving level/proficiency:

Beginner	Open Water	Advanced	Advanced Plus
Dive Master	Assistant Instructor	Instructor	Course Director

	Dive card number:
	Instructor's Name:

Date of certification:

(Day)

(Month)

(Year)

Place of certification:

(Town/City, Country)

To help our Webmaster to improve better our Website

How did you know about us?
	From a friend: From an ad: From the internet:

Thank you very much for the time you spent to help us to make greater, your holidays.

PAYMENT

Please read carefully our General Conditions.

Please click on the "Send reservation" button below to send this reservation form to us. If you want to reset or clear this form, just click on the "Reset/Clear the form" button below.

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Our address:
VIRGIN ISLANDS OF THE PHILIPPINES
SOONG 2 - MACTAN - LAPU LAPU CITY - Cebu - Philippines
Phone & Fax: (63)(32) 4958132
Cellularphone:(63)9106032195

webmaster@ilesvierges.com	info@ilesvierges.com
If you encounter any problem with this web site, you may send e-mail to the webmaster.	If you have a question regarding our tour packages and you cannot find the answer in this web site, you may send e-mail to our information officer.