Discover Scuba Course Booking Form

ON - LINE COURSE BOOKING FORM

We accept

Please fill out the course booking form below in full. All items marked with a red * must be completed. On receipt of the booking form we will send you a confirmation by e-mail. A place will be held for you but not confirmed until the course booking deposit has being received by Discover Scuba.

A booking deposit of €75 is required on all courses from Open Water and above except for the following programmes. A booking deposit of €25 is required for Discover Scuba and Scuba Review. Once a booking deposit has been received it secures your place on that course.

Please make all cheques/money orders payable to Discover Scuba Limited. 20, Terenure Park, Dublin 6w.

Please enter your contact details below.
*NAME:
*SURNAME:
*ADDRESS:


CITY / TOWN:
COUNTY:
COUNTRY:
*CONTACT TELEPHONE NUMBER:
MOBILE NUMBER :
*E-MAIL ADDRESS:
Please enter the course details and booking info below
HAVE YOU EVER SCUBA DIVED BEFORE ?	YES I have NO not yet
*HAVE YOU CERTIFIED WITH? :
CERTIFICATION LEVEL :
*WHAT COURSE ARE YOU INTERESTED IN BOOKING WITH US?:
*PLEASE ENTER THE COURSE NUMBER (from web site):
PLEASE ENTER THE COURSE DATE YOU ARE BOOKING (from web site):
JOIN OUR MAILING LIST:	YES please NO thank you
PLEASE ENTER ANY COMMENTS YOU WISH TO MAKE: