Atlantis Diving Center: Reservation form

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Reservation Form

Please fill out one separate form for each member of your family or group.

Fields marked with an * are mandatory.

Name

Given name

Street, no.

Postal code

Town

Country

Phone

Mobile phone

Email address

Height (cm)

Arrival on

Departure on

Which programs do you wish to reserve?
	2 dives
	4 dives
	6 dives
	8 dives
	10 dives
	Night dives
	Boat dives

Which equipment do you wish to reserve?
	Regulator
	Jacket BCD
	Wetsuit
	Basic equipment / 1 dive
	Basic equipment / 2 dives

Which courses do you wish to reserve?
	Children's Program in the hotel pool
	Children's Program in the sea
	Discover Scuba Diving
	Scuba Diver
	Open Water Diver
	Advanced Open Water Diver
	Emergency First Response
	Rescue Diver
	Dive Master
	Assistant Instructor

Which special courses do you wish to reserve?
	Nitrox Diver
	Deep Diver
	Night Diver
	Boat Diver
	U/W Navigator
	U/W Naturalist
	Peek Performance Buoyancy

Additional requests:

With prior reservation via Internet we grant a 5 % discount. There is no down payment or other advance payment required. Any pre-booked services are to be payed on the scene after your arrival, and after you convinced yourself of the quality of our equipment and the reliability of our offers.

Atlantis Diving Center
Giorgios Gioumpakis

Hotel Rithymna Beach
Adelianos Campos
GR - 74100 Rethymnon

Club Marine Palace
GR - 74053 Panormo

Phone 0030 28310 71640
Fax 0030 28310 71668
Mobile 0030 6977 506093

E-mail to Atlantis Diving Center