Atlantis Dive Resort - Dumaguete Atlantis Dive Resort - Puerto Galera

Liapayo, Dauin Sabang Beach, Puerto Galera

Negros Oriental, 6217, Philippines Oriental Mindoro, 5203, Philippines
TelFax: +63.(0)35.4240578 TelFax: +63 (0)43 2873066 to 67
Tel: +63.(0)35 4252327 Fax : +63 (0)43 2873068
CellTxt: +63.(0)917 8515126 CellTxt: +63 (0)917 5620294

Please fill out this form as required by the Department of Tourism.

(items marked with * means required)

If you have children in the room please write their names here:

(to change year, click the year & type the desired one)

(country code + area code + telephone number)

(country code + area code + fax number)

YES, I would like to receive the Atlantis Monthly Newsletter using my email above.

Please answer the following questions:

Are you a certified diver? If Yes, please write your current level of certification below
_______________________________________________________________________

If non-diver, are you interested in learning how to dive?

Can we inform you about our excursions?

If you or any of your party will have a special event (birthday, anniversary, 100th dive, etc.)
during your stay, can you please let us know about it? ___________________________
______________________________________________________________________

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