PLAN YOUR VACATION

First Name*

Last Name*

Company

Address*

City*

State*

Postal Code*

Country*

Email*

Day Phone*

Evening Phone

Date

		Car
		Airplane
		Ship

		Basic Open Water SCUBA Certification
		Advanced Open Water SCUBA Certification
		Rescue Diver Open Water SCUBA Certification
		DiveMaster
		Dive Instructor
		None- I want to get certified while on vacation.

		Yes, travelling with my own dive gear.
		No, I will need rental gear for any diving.

Thank you for requesting that AQUANAUTS SCUBA ACADEMY plan your vacation. Please set reasonable budgets in order for us to help you plan your vacation. Once we receive this planning form, we will send you one to three vacation plans to review or you may receive a request for additional information prior to receiving the plan alternatives. Once you decide on a vacation, you will receive an invoice based on your chosen vacation plan. Your vacation cannot be booked until payment is received.

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