RESERVATION
In order to make a reservation,or request more info, please fill out the form below as completely as possible. We will be in touch with you as soon as possible.
PERSONAL INFORMATION
Family Name:
Firstname:
Emailadress:
Date of arrival:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
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31
2008
2009
2010
2011
Hotelname:
Optional info :
DIVING REQUESTS:
Date of arrival:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
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20
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22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Number of people:
Highest certification level:
Amount of Logged Dives:
Last Logged Dive :
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
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15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Need refreshment course?
YES
NO
Need equipment?
YES
NO
# Local Dives/Person:
# Night Dives/Person:
# Cenote/Cave Dives
(2 dives) /Person:
# Cozumel Dives
(2 dives) /Person:
Other dive or snorkel trips:
PADI COURSES
Please specify below the number of people wanting certification courses:
Discover Scuba Diving:
(1 day)
Open Water Diver:
(3 - 4 days)
Advanced OWD:
(2 - 3 days)
Rescue Diver:
(2 - 3 days)
Divemaster:
(~10 days)
Other courses:
TRAVEL(Only to be filled in when hotel & travel packages are booked through us)
Home Adress :
City:
Zip:
Country:
Phone Country Code:
Area code:
Phone number:
Fax number:
Email:
Date of arrival:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Time of arrival:
(if known)
Flight number:
(if known)
Number of people:
Date of departure:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Will you need transport
from the airport?
YES
NO
FINAL REMARKS, OTHER WISHES OR QUESTIONS
Your remarks/questions