Name & Surname: 
Nationality:
Postal Address: 
e-mail:
Phone No: 
Land Line Appreciated
Fax No: 
   

Dates of prospective stay:
From: 
To: 

Number of days: 


Number of Divers: Number of Non-Divers: 

Children (under 2): Children (2-12): 

Accommodation Considered:
5 Star 4 Star 3 Star 2 Star Apartment
Other: 

Children sharing their parent's bedroom: 

Persons with single bedroom: 

Meals to be included in the programme: 

Diving Equipment required for rent (state number):
Regulator: 
B.C.D: Wet Suit: Tanks: Weight Belts: 

You wish to dive: 

If course is required, please give details: 

Use this space to add additional comments, suggestions, or requests:

 

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