Taka Dive Australia - Reservation Request Form

Reservations and Enquiries

Use the form below to request a reservation. To make an enquiry send e-mail to greghl@ozemail.com.au with subject 'Taka Enquiry'.

Alternatively fax +61 70 312 739 from outside Australia or (070) 312 739 from inside Australia.

Or telephone +61 70 518 722 from outside Australia or (070) 518722 within Australia.

Address snail mail to:

Taka Dive Australia
PO Box 6592
Cairns Qld 4870
Australia.

Taka Dive Australia's shop is located at 131 Lake St, Cairns.

Your name:

Your e-mail address:

Your certification level:

Which cruise would you like to do?

Do you require gear?

YES NO

Do you wish to participate in the Underwater Photography Course?

YES NO

Do you wish to participate in a PADI Advanced Open Water Course?

YES NO

On which date would you like to start your cruise?

How many are in your party?

If more please state how many here:

Where will you be staying in Cairns?

Any other requirements?

Upon receipt of your reservation request we will contact you by e-mail to confirm availability and arrange payment details.

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