Thank you for signing up for the Nirup Island Launch Party. Kindly register additional guests that you are bringing via this form. We will contact you to confirm the places once we have received your payment.

How many guests are coming with you? *

Up to 11

#1 Guest Details

#1 Guest Name *

#1 Guest Email *

#1 Guest Mobile No. *

Is #1 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #1 Guest membership ID: *

Is #1 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#2 Guest Details

#2 Guest Name *

#2 Guest Email *

#2 Guest Mobile No. *

Is #2 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #2 Guest membership ID: *

Is #2 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#3 Guest Details

#3 Guest Name *

#3 Guest Email *

#3 Guest Mobile No. *

Is #3 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #3 Guest membership ID: *

Is #3 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#4 Guest Details

#4 Guest Name *

#4 Guest Email *

#4 Guest Mobile No. *

Is #4 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #4 Guest membership ID: *

Is #4 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#5 Guest Details

#5 Guest Name *

#5 Guest Email *

#5 Guest Mobile No. *

Is #5 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #5 Guest membership ID: *

Is #5 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable) *

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#6 Guest Details

#6 Guest Name *

#6 Guest Email *

#6 Guest Mobile No. *

Is #6 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #6 Guest membership ID: *

Is #6 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#7 Guest Details

#7 Guest Name *

#7 Guest Email *

#7 Guest Mobile No. *

Is #7 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #7 Guest membership ID: *

Is #7 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#8 Guest Details

#8 Guest Name *

#8 Guest Email *

#8 Guest Mobile No. *

Is #8 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #8 Guest membership ID: *

Is #8 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#9 Guest Details

#9 Guest Name *

#9 Guest Email *

#9 Guest Mobile No. *

Is #9 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #9 Guest membership ID: *

Is #9 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#10 Guest Details

#10 Guest Name *

#10 Guest Email *

#10 Guest Mobile No. *

Is #10 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #10 Guest membership ID: *

Is #10 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

#11 Guest Details

#11 Guest Name *

#11 Guest Email *

#11 Guest Mobile No. *

Is #11 Guest a ONE°15 Marina Club member? *

• Yes
• No

Please state #11 Guest membership ID: *

Is #11 Guest a boat owner? *

• Yes
• No

Please indicate the name of your boat. *

Please indicate the name of the boat you are travelling on (if applicable)

Payment for Launch Party *

Price: $132.30

Inclusive 8% GST

Payment for Launch Party *

Price: $45.36

Inclusive 8% GST

Payment for Launch Party *

Price: $189.00

Inclusive 8% GST

Payment for Launch Party *

Price: $64.80

Inclusive 8% GST

Payment Details

Total Payable

$0.00

Credit Card Details *

Card

Name on Card

Acknowledgement *

• In compliance with the Personal Data Protection Act (“PDPA”) and Protection of Personal Data (“PDP Law”) in Singapore and Indonesia respectively, ONE°15 Marina Nirup Island, Indonesia (“ONE°15”), seeks your consent to collect and use your personal data for ONE°15’s marketing communication materials.

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