Diving in Cyprus Information form

If you wish us to send you information directly, about our dive packages and special offers, please fill in this form. We will not pass your information on to any other companies, and will remove you from our mailing list when requested.

	Please provide the following contact information: Name Title Organisation Street address Address (cont.) City State/Province Zip/Postal code Country Home Phone FAX E-mail
	Have you dived before? Yes No
	If you have dived before, what is your level of experience ?
	If you have dived before,please enter the date of your last dive.
	Please enter the number of persons you are enquiring for (i.e. If this is a group enquiry enter the approximate number of divers in your group)
	Dive Course Required:
	Would you like to receive notification of special offers and notices of interest from us in the future? Yes No
	Please add any special interests or needs that you have, and any other information you feel may be pertinent..
	Please enter any equipment needs you have. Please copy the letters and numbers in small case to the box below.

Please press submit only once. It will take some seconds for your form to be processed so please be patient. Thank you for your submission, you will hear from us soon.