| Advance Reservation | ||
| Please fill in this form and submit by fax. Thank you for reserving your dive trip with us. | ||
| Name | ||
| Credit Card Billing Address: | ||
| Phone: | ||
| Fax: | ||
| Type of Service | ||
| Date(s) of Service & Time | ||
| MC or Visa Number: | ||
| Exp. Date: | ||
| Card Holder's Name: | ||
| Amount of Deposit*: | * Deposit is 50% of total and is 75% refundable with at least 24 hour notice | |
| Balance Due: | ||
For final confirmation, please fill information, print, sign and fax it to us:
Sign: _______________________________ Date: ___________ |
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