January 7, 2009
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Liveaboard Cruise Operator Registration Form
Name
:
Address
:
Date of Establishment
:
mm
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yyyy
2005
2006
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City
:
Zip Code
:
Phone
:
Fax
:
Email
:
Website
:
Contact
:
1. Mr/Mrs/Ms
:
Position
:
Director
General Manager
Cellular Phone
:
2. Mr/Mrs/Ms
:
Position
:
Cellular Phone
:
3. Mr/Mrs/Ms
:
Position
:
Cellular Phone
:
Membership
1. APKWI, Location
:
Number :
Bank Information
Name of Bank
:
Address
:
Account Number
:
Account Name
:
Swift Code
:
Vessel Information
Name of Vessel
:
Country
:
Place of Registration
:
Registration Number
:
Username
:
Password
:
Online Reservation
---- Select Here ----
FIT
GROUP
Select to make reservation
Username :
Password :
Not a member yet, sign
up
here
Map of Indonesia :
Coral Triangle Center
(
www.coraltrianglecenter.org
)
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