Costa Maya Scuba Diving & Beach Getaway Excursion
Reservation and Information Request Form
A minimum of Two Divers per reservation is required to reserve this excursion
Reservation Name:
E-Mail Address: (Please verify)
Reservation Date:
--- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec --- 2007 2008
Ship Name:
Number of certified Scuba Divers in your party ($75us pp):
Equipment Needed for Certified Divers
Mask and Fins $10usd (Divers)
Please Choose How Many 1 2 3 4 5 6 7 8
Regulator and Console $10usd
BCD $10usd
Dive Computer $10usd
Wet Suit $10usd
If any specific requirement as not found on
this form, please fill in the question/requests
form below.
Questions or Special requests:
We will confirm with times and possibilities!
Thank you for filling out our reservation form,
we will contact you ASAP
with an availability notice by E-Mail.
Please keep in mind, a 20% credit card deposit will
be needed in order to confirm the charter upon
confirmation of availability.
Problems with this form? Please E-Mail us!
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Reservation Request due to the SPAM blockers
in your E-Mail System.
Please include all information found in the form above!
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