Course Booking Form All information provided in this form will be encrypted using PGP encryption and sent to our secure server Your details are 99.9% secure
Booking Policy (all fields with * are required fields)
* First Name: * Last Name:
* Date Of Birth:
* Telephone1: Telephone 2:
Fax: * E-mail:
* Address line 1: * Address line 2:
Address line 3: * Post Code:
Current Diver Qualification: Organisation: PADI BSAC SSI ANDI SAA NAUI TDI IANTD CMAS
Course: Select Discover Scuba Open Water Advanced Open Water EFR/CFC Rescue Diver Divemaster Assistant Instructor OWSI IE EFR Instructor IDC Programme DPV Photography Videographer Wreck Deep Night Diver Equipment Digital Photographer Course Dates: Click here for dates
Please Select the Materials you Require prices subject to change in 2008 (to select multiple items hold "Ctrl"): OW Manual Ver 2.4 = £27.04 OW Quizzes & Exams ver 3.1 = £5.32 OW Course Aquatic Cue Card OW Dives = £24 OW Course Aquatic Cue Card CW Dives = £18.27 Dive Master Manual = £19.85 Encyclopedia = £25.23 Wheel = £28.79 AI/IDC Crewpack = £279 Instructor Manual Digital = £109.23 IDC Candidate Workbook and Binder = £39.16 Instructor Manual - Hard Copy = £109.23 Law & the Diving Profession = £19.85 Dive Master Final Exams (Rev 1/99) ver 2.0 = £5.64 Rescue Diver Quizzes & Exams ver 3.1 = £3.40 Diving Knowledge Workbook = £13.56 Adventures in Diving Manual/Slate Ver 2.1 = £22.73 Rescue Diver Manual/Slate ver 3.0 = £21.25 Rescue Pocket Mask = £21.00 PADI Dive Roster = £11.28 The Best of the Undersea Journal = £21.86 The Business of Diving = £17.99 Peak Performance Buoyancy Specialty Instructor Outline = £10.34 Project Aware Specialty Instructor Outline = £10.34
Please State the Materials that you already own (if any):
Kit Required:
* Height: (feet & inches)
* Foot Size:
* Chest/Dress:
Payment Details:
* Payment Type: Select Credit Card Debit Card * Card Type: Select Visa Mastercard American Express Delta Switch Solo Electron
* Card Number: * CVV #: (last 3 digits on the rear of the card)
* Card Holders Name (as it appears on the card):
Card Holders Address (if different than above):
Valid From Date (if applicable):
* Expiry Date:
Issue Number (if Switch/Solo):
Notes:
Postage & Packing charge of £7 will apply All information provided in this form will be encrypted using PGP encryption and sent to our secure server All your details are 99.9% secure
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