Bikini Atoll Initial Interest Survey
RequiredRequired Question(s)
Required 1.

First Name

 

50 characters left.
Required 2.
Last Name
 

50 characters left.
Required 3.

Email Address

 

50 characters left.
Required 4.

Certification Level (check all that apply)

Advanced Open Water
Rescue Diver
Dive Professional
Tec 40 Diver
Tec 45 Diver
Tec Trimix
Advanced Nitrox
Deco Procedures
Recreationol SCR/CCR
Technical CCR
Other  
Required 5.
Approximately how many dives have you logged in the last year?
0
1 - 10
11 - 50
51 - 100
100 +
Required 6.
Approximately how many technical dives have you logged in the past year?
0
1 - 10
11 - 50
51 - 100
101 +
Required 7.
Why should you be selected for this trip?
 

350 characters left.
Required 8.

Excluding airfare, how much are you willing to spend for 12 days liveaboard diving at The Marshall Islands .& Bikini Atoll?

Under $2500
$2500 - $4999
$5000 - $7499
$7500 $9999
$10,000 - $15,000