EmailMe Form - Booking Water Rafting

Booking Form

Name *
Contact Number *
Email *
Water Rafting Location *
Selangor River (Kuala Kubu Bharu)
Slim River (Perak)
Please select your water rafting river location.
Number of People *
Insurance Purchase
Yes
No
(Optional) Valid for Malaysians & Expats with work permits and has a local bank account only!
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.
Buy as a Gift Voucher
Yes
Please tick Yes, if you buy it as a gift voucher for someone else with no date confirmed, and the recipient will redeem it within the 3 month validity date after full payment from you.