BookingQdives

ONLINE BOOKING - SECURE SSL CONNECTION
We will only use your credit card data if you do not show up and do not notify us. Our cancellation policy is 7 days for classes and packages (14 days for private classes), 4 days for guided dives, and 2 days for dives. If you cancel before the policy,we will not charge you. Upon arrival, you can pay by cash, check or credit card (Visa, Mastercard, Discover). Please fill in this form (fields with * are mandatory) and submit it, we will be in contact shortly with a booking confirmation that contains all necessary information!

Arrival	*
Departure	*

1. Person: First and Last Name	*	Age Certification Level
Number of logged dives		Date of last dive

2. Person: First and Last Name		Age Certification Level
Number of logged dives		Date of last dive

3. Person: First and Last Name, Age, Certfication Level, Number of logged dives, Date of last dive
4. Person: First and Last Name, Age, Certfication Level, Number of logged dives, Date of last dive

Email Adress for Confirmation	*
Telephone
Cellphone number

Accommodation
Category if needed (accommodation)
Diving
Dive Courses
Number of Course Participants
Rental Equipment:		Complete Equipment No Equipment Pieces of Equipment
If pieces of equipment, which:
Would you like a Guide?		Yes No
Additional Activities		Kayak Tour Everglades Sailing/Snorkeling Flying Other (please comment)
How did you find us?		Internet Search Engine Padi.com Website Recommendation TV Show Other
If recommended, by whom?
Comments		Example: we would like to to our first dive trip on xx am/pm
For diving please bring: Certification Cards, Logbook, Dive Medical (if needed)

Credit Card: Name on Card	*
Billing Address of Credit Card:
Number and Street	*
City	*	StateZIP
Country	*
Credit Card Number	*
Valid until:	*	/
Security number (last 3 digits on back of card)	*