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Name
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Telephone number - home Best time to contact
Telephone number - office Best time to contact
FAX
I would like to reserrve spaces on the boat for the date(s) of
I need rental equipment Regulator BC Mask/snorkel/fins Wet suit Computer for persons
I am certified by PADI SSI NAUI BSAC CMAS I want to use NITROX Yes No and I am Nitrox certified by
FDU will contact you by telephone. I will pay my deposit with Mastercard Visa Discover American Express