Florida Down Under

Please completely fill out the form and select the Submit button.

Name E-Mail

City/State/Country

Telephone - office best time to call

Telephone - home best time to call

FAX

How did you learn about Florida Down Under: select source WWW Internet News Groups Florida SCUBA News America on Line Word of Mouth Other

I would like information on a diving adventure to select location Grand Cayman Cayman Brac Little Cayman Belize Cozumel Saba Red Sea Sea of Cortez Hawaii Fiji Truk Lagoon Palau Australia Florida Bonaire

Departure City of choice:

Number of persons in my party

Number of divers non divers

Number of persons per room

I want to go during this time period select month January February March April May June July August September October November December of select year 1997 1998 1999 2000

Exact dates of travel, if possible

I am interested in a particular Hotel/Resort/Dive operator. Yes No

Hotel Resort Dive operator

I want a select package Economy package Midrange package Delux package

I want an a/a select options All inclusive package with diving and meals Accomidations only Accomidations and diving only

I would like the per person price range to be: select price range $500-750 $750-1000 $1000-1500 $1500-2000 >$2000

Tell us a little about you to help our travel planners better serve you.

I have been diving select time 1-3 years 3-5 years 5-10 years > 10 years My logged dives are select number of dives 10-20 20-30 30-40 40-50 50-100 >100

I consider myself select diving experience A novice diver An intermediate diver An experienced diver A professional

My certification level is select certification level Open Water Diver Advanced OW Diver Rescue Diver Divemaster Instructor Course Director

My certification agency is select agency PADI SSI NAUI CMAS BSAC other

I really do not know where I want to go. Please make some suggestions

I would like a select type Land based trip A live aboard trip Combination of both I want a select location Florida trip a Carribean trip A Pacific trip A Red Sea trip

Please provide us with any additional information in the text box provided below: