1 Step 1 Discover Scuba Diving Divers Registration Form體驗潛水課程申請表 First Name (名) Last Name (姓) Date of Birth (出生日期) DD/MM/YY Nickname （英文名） Male (男)Female (女) Address (地址)0 / Emailemail Phone Number (電話號碼) Height (身高) Weight (體重) Upload Photo (上載圖片)uploadcloud_uploadUpload Profile Picture (上載個人頭像) 個人相片在第一次報名是必需提供的 Did you tried Discover Scuba Diving ? (有否試過體驗潛水 ?)Yes (有)No (沒有) Where ? (在那 ?) --- Course Information (課程資料) --- Register Date (報名日期) Course (潛水課程) Course (潛水課程)Discover Scuba Diving / 體驗潛水 Course Date (上堂日子) --- Payment (付款) --- Course Fee (課程費用)Course Fee (課程費用)$980 Other - Course Fee (課程費用)0 / Payment Methods (付款方法)Payment Methods (付款方法)FPS (轉數快)PayMeBank Transfer (銀行過數)Other (其他) Other - Payment Methods (付款方法)more details0 / How did you hear about us? (從何得知我們 ?)Facebook InstagramSearch engine (搜尋引擎)Referral (朋友介紹)Newspaper / Magazine (報紙雜誌)Other (其他) Other - How to know US ?! (從何得知我們 ?!)0 / Submit Form (提交) Remark (備註) :more details0 / Friend (If any) 同行朋友 (如有) :more details0 / keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
