Booking Form
EmailMeForm
Name
*
Email Address
*
Contact Number
*
Water Rafting Location
*
Selangor River (Kuala Kubu Bharu)
Slim River (Perak)
Kampar River (Perak)
Gerik River (Perak)
Please select one venue for your paragliding location
Number of People
*
Insurance
(Optional)
Please click here, if you DO NOT want Insurance Protection!
Insurance coverage benefits up to RM50k p/person
Activity Date
*
DD
/
MM
/
YYYY
Message
You may inform us of anything we need to know before your booking. eg: overweight, vegan meal, return transport, etc.
Voucher No. (If available)
If you book this activity based on Voucher as Gift or Promotion. Please provide your voucher number.
Powered by
EMF
Online HTML Form
Report Abuse