ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <HTML> <HEAD LANG='en'> <LINK REL="canonical" HREF="http://www.boholsearesort.com/request/request-for-booking-Bohol-Sea-Resort.php"> <!-- General header info, page independent, language independent --> <LINK REL=STYLESHEET HREF="../main.css" TYPE ="text/css"> <LINK REL="SHORTCUT ICON" HREF="../favicon.ico"> <META HTTP-EQUIV="Content-Type" content="text/html; charset=windows-1252"> <META NAME="AUTHOR" CONTENT="Bohol Sea Resort"> <META NAME="COPYRIGHT" CONTENT="2011, Bohol Sea Resort"> <META NAME="ROBOTS" CONTENT="FOLLOW,INDEX"> <META NAME="PAGE-TOPIC" CONTENT="vacation"> <META HTTP-EQUIV="expires" CONTENT="0"> <META HTTP-EQUIV="Content-Style-Type" content="text/css"> <META HTTP-EQUIV="Content-Script-Type" content="text/javascript"> <script src="../ga.js" type="text/javascript"></script> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-24431368-1']); 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" SRC="../gfx/flag_it.gif" ALT="Italiano">&nbsp;&nbsp;Italiano</A> <BR><BR> <A CLASS="left" HREF="../welcome-to-Danao-Beach-Bohol-Sea-Resort.php">Welcome</A><BR> <DIV CLASS="linkbox"><A CLASS="left" HREF="../resort/dive-resort-overview-Bohol-Sea-Resort.php">Resort information</A><BR>Overview<BR>Facility tour<BR>Accommodation</DIV> <DIV CLASS="linkbox"><A CLASS="left" HREF="../diving/scuba-diving-Bohol-Sea-Resort.php">Diving details</A><BR>Dive trips &amp; center<BR>Scuba training<BR>Diving sites<BR>Reef guide</DIV> <DIV CLASS="linkbox"><A CLASS="left" HREF="../service/spa-wellness-relax-Thai-massage-Bohol-Sea-Resort.php">Services provided</A><BR>Wellness Spa<BR>Tours<BR>Rentals</DIV> <DIV CLASS="linkbox"><A CLASS="left" HREF="../philippines/country-people-Bohol-Visayas-Philippines-Bohol-Sea-Resort.php">Philippines</A><BR>Country &amp; People<BR>Trip around Bohol<BR>FAQ<BR>Travel &amp; Location</DIV> <A CLASS="left" HREF="../pictures/picture-gallery-visayas-philippines-Bohol-Sea-Resort.php">Gallery</A><BR> <A CLASS="left" HREF="../feedback/feedback-guestbook-Bohol-Sea-Resort.php">Guestbook</A><BR> <A CLASS="left" HREF="../price/price-rates-rooms-bungalows-diving-course-Bohol-Sea-Resort.php">Prices</A><BR> <A CLASS="lefta" HREF="../request/request-for-booking-Bohol-Sea-Resort.php">Request/Booking</A><BR> <A CLASS="left" HREF="../links-Bohol-Sea-Resort.php">Links</A><BR> <A CLASS="left" HREF="../imprint-disclaimer-Bohol-Sea-Resort.php">Imprint</A><BR> <BR> <BR> <IMG STYLE="width: 60px; height: 41px; border-style: none; " SRC="../gfx/free_wi_fi_spot.gif" ALT="free wifi"> <BR> <BR> <BR> <A CLASS="left" HREF="http://webpinoy.cwsurf.de/webpinoysworld/2011/03/philippines-safe-from-radioactive-winds/" TARGET="_blank"><B>NEW <BR> Philippines safe</B><BR> from Japan's radioactive winds</A></DIV> <DIV ID="Content"> <BR> <H1 STYLE="text-align: center; ">Book your next dive holiday here</H1> <FORM METHOD=POST ACTION="request-for-booking-Bohol-Sea-Resort.php"> <TABLE STYLE="width: 88%; border-style: none; " CELLSPACING=3 CELLPADDING=1 SUMMARY="Request input table"> <TR> <TD STYLE="vertical-align: top; width: 66%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 7%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 4%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 7%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 4%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 7%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 4%; ">&nbsp;</TD> <TD STYLE="vertical-align: top; width: 1%; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; " ><B>First &amp; Last Name: </B><FONT COLOR="#FF0000" ><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld1" TYPE=TEXT NAME="fullname" VALUE="" SIZE=50 MAXLENGTH=60></TD> <TD STYLE="vertical-align: top; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; " ><B>Address: </B><FONT COLOR="#FF0000" ><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld2" TYPE=TEXT NAME="street" VALUE="" SIZE=50 MAXLENGTH=60></TD> <TD STYLE="vertical-align: top; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; " ><B>ZIP / City: </B><FONT COLOR="#FF0000" ><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: left; "><INPUT ID="Eingabefeld3" TYPE=TEXT NAME="zip" VALUE="" SIZE=5 MAXLENGTH=6></TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=4><INPUT ID="Eingabefeld4" TYPE=TEXT NAME="city" VALUE="" SIZE=30 MAXLENGTH=50></TD> <TD STYLE="vertical-align: top; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Country: </B><FONT COLOR="#FF0000"><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld5" TYPE=TEXT NAME="country" VALUE="" SIZE=50 MAXLENGTH=60></TD> <TD STYLE="vertical-align: top; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Phone: </B></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld6" TYPE=TEXT NAME="phone" VALUE="" SIZE=50 MAXLENGTH=60></TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; " ><B>e-Mail: </B><FONT COLOR="#FF0000"><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld7" TYPE=TEXT NAME="email" VALUE="" SIZE=50 MAXLENGTH=60></TD> <TD STYLE="vertical-align: top; text-align: left; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Number of Persons: </B></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><INPUT ID="Eingabefeld8" TYPE=TEXT NAME="pax" VALUE="" SIZE=6 MAXLENGTH=6></TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; " ><B>Arrival on date: </B><FONT COLOR="#FF0000"><B>*</B></FONT></TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld9" TYPE=TEXT NAME="arrivaldateday" VALUE="" SIZE=3 MAXLENGTH=3></TD> <TD STYLE="vertical-align: top; text-align: left; " >Day</TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld10" TYPE=TEXT NAME="arrivaldatemonth" VALUE="" SIZE=3 MAXLENGTH=3></TD> <TD STYLE="vertical-align: top; text-align: left; " >Month</TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld11" TYPE=TEXT NAME="arrivaldateyear" VALUE="" SIZE=4 MAXLENGTH=4></TD> <TD STYLE="vertical-align: top; text-align: left; " >Year</TD> <TD STYLE="vertical-align: top; "><FONT COLOR="#FF0000"><B>*</B></FONT></TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Departure on date: </B></TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld12" TYPE=TEXT NAME="departuredateday" VALUE="" SIZE=3 MAXLENGTH=3></TD> <TD STYLE="vertical-align: top; text-align: left; ">Day</TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld13" TYPE=TEXT NAME="departuredatemonth" VALUE="" SIZE=3 MAXLENGTH=3></TD> <TD STYLE="vertical-align: top; text-align: left; ">Month</TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld14" TYPE=TEXT NAME="departuredateyear" VALUE="" SIZE=4 MAXLENGTH=4></TD> <TD STYLE="vertical-align: top; text-align: left; ">Year</TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Vacation Duration in Resort: </B></TD> <TD STYLE="vertical-align: top; text-align: right; "><INPUT ID="Eingabefeld15" TYPE=TEXT NAME="days" VALUE="" SIZE=3 MAXLENGTH=3></TD> <TD STYLE="vertical-align: top; text-align: left; ">days</TD> <TD STYLE="vertical-align: top; " COLSPAN=5>&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Request Category: </B></TD> <TD STYLE="vertical-align: top; " COLSPAN=6> <SELECT ID="Auswahlfeld1" NAME="room"> <OPTION SELECTED VALUE="none">please select</OPTION> <OPTION VALUE="eco">Economy Room</OPTION> <OPTION VALUE="standard">Standard Room</OPTION> <OPTION VALUE="deluxe">Deluxe Bungalow</OPTION> <OPTION VALUE="superior">Superior Bungalow</OPTION> </SELECT> </TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Transfer from Airport / Pier: </B></TD> <TD STYLE="vertical-align: top; " COLSPAN=6> <SELECT ID="Auswahlfeld2" NAME="transfer"> <OPTION SELECTED VALUE="none">please select&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</OPTION> <OPTION VALUE="Cebu">yes, <FONT SIZE="-2">from Cebu</FONT></OPTION> <OPTION VALUE="Tagbi">yes, <FONT SIZE="-2">from Tagbilaran</FONT></OPTION> <OPTION VALUE="no">no</OPTION> </SELECT> </TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Are you diver? </B></TD> <TD STYLE="vertical-align: top; " COLSPAN=6> <SELECT ID="Auswahlfeld2" NAME="diver"> <OPTION SELECTED VALUE="none">please select&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</OPTION> <OPTION VALUE="yes">yes</OPTION> <OPTION VALUE="no">no</OPTION> </SELECT> </TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>How many dives are you planning?</B></TD> <TD STYLE="vertical-align: top; text-align: right; ">approx. </TD> <TD STYLE="vertical-align: top; text-align: center; "><INPUT ID="Eingabefeld16" TYPE=TEXT NAME="dives" VALUE="" SIZE=6 MAXLENGTH=6></TD> <TD STYLE="vertical-align: top; text-align: left; "> dives</TD> <TD STYLE="vertical-align: top; " COLSPAN=4>&nbsp;</TD> </TR> <TR> <TD STYLE="vertical-align: top; background-color:#0080FF; "><B>Your message to us: </B></TD> <TD STYLE="vertical-align: top; text-align: left; " COLSPAN=6><TEXTAREA NAME="notes" ROWS=5 COLS=40></TEXTAREA></TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> <TR> <TD COLSPAN=8><INPUT TYPE="hidden" NAME="spamavoid" VALUE="28"></TD> </TR> <TR> <TD COLSPAN=5 STYLE="vertical-align: top; text-align: right; ">To avoid spamming, please enter follwoing number <FONT COLOR="#FF0000"><B>28</B></FONT> on the right side: </TD> <TD COLSPAN=3 STYLE="vertical-align: top; text-align: left; "> <INPUT TYPE="text" NAME="spamnumber" SIZE=2 VALUE="??" onclick="this.value=''"> </TD> </TR> <TR><TD COLSPAN=8>&nbsp;</TD></TR> <TR> <TD STYLE="vertical-align: top; text-align: center; "></TD> <TD STYLE="vertical-align: top; text-align: center; " COLSPAN=3><INPUT TYPE="SUBMIT" NAME="submit" VALUE="Send"></TD> <TD STYLE="vertical-align: top; text-align: center; " COLSPAN=3><INPUT TYPE="RESET" VALUE="clear form"></TD> <TD STYLE="vertical-align: top; ">&nbsp;</TD> </TR> </TABLE> </FORM> Fields marked with <FONT COLOR="#FF0000"><B>*</B></FONT> are required fields!<BR>&nbsp; <HR> <BR> <DIV CLASS="ContentWrap" STYLE="text-align: center; "> <DIV CLASS="HalfLeft" STYLE="width: 130px; text-align: center; "> <IMG CLASS="logo" SRC="../gfx/logo.gif" ALT="Bohol Sea Resort logo"> </DIV> <DIV CLASS="HalfRight" STYLE="width: 700px; "> <P>Bohol Sea Resort - Panglao Philippines<BR><BR> Address: Danao Beach, 6340 Panglao, Bohol, Philippines<BR> Phone: +63 (0) 38 502 8189 Fax: +63 (0) 38 502 8189<BR> Email: info@boholsearesort.com URL: http://www.boholsearesort.com </P> </DIV> <A CLASS=footer HREF="http://www.boholsearesort.net/" TARGET="_blank">Bohol Sea Resort Net</A> &nbsp;&nbsp; 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