Lanai Diving Reservations

We are happy to extend a 15% discount to our guests who book online. Please fill out this form, and either submit it below, or print it out and fax it to us at 808-661-5010.

* Guest Name:
Number of Certified Divers:	Remember to bring your certification card
Number of Un-Certified Divers:
Date requested for your dive:	Monday through Friday only
Where are you staying?
Local Contact Information:
Referred by:
Comment:
Contact Information
Home Mailing Address:
City:
State:
Zip or Postal Code
Country:
Home or Cell Phone Number:
* Email Address:
Payment Information
* Credit Card Number:
* Expiration Date (mm/yy):
* Security Code:	(Last three digits from back of card)

HAWAIIAN RAFTING ADVENTURES 1223 Front Street, Lahaina, Maui, Hawaii 96761
(808) 661-REEF (808-661-7333) Toll Free 866-529-2544 Fax 808-661-5010