EmailMe Form - OXBOLD Booking Form

Booking Form

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.