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Personal information and Dive Details

First Name:

Last Name:

Category:

Reservation Dates:

Desired Program:

Desired Dive Time:
(single tank dive trip)

Number of People:

Company Name:

Street Address:

City:

State:

Zip Code:

Country:

Phone Number:

Fax Number:

E-Mail Address:


Cruise Ships
If you are arriving with a cruise ship please fill out details below:

Name of cruise ship:

Arriving Port::

Date of arrival:

Time of arrival:

Transfer request: Yes     No


Hotel
If you are staying in a hotel and you would like us to arrange your transfer
please fill out details below:

Name of Hotel:

Transfer request: Yes     No

Date of transfer:


Payment Method

VISA MASTERCARD AMERICAN EXPRESS

Number:

Exp. date:

Name:

 


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visit CMAS Federation

A member of PADI Organization and CMAS Federation

Mykonos Diving Center at Paradise Beach
Mykonos Island, Cyclades, Greece
tel: +30-22890 24808
tel/fax: +30-22890 26539