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Trip Reservation for Cozumel

     Please fill out the reservation form below:

Trip Information:
Trip Name:	Cozumel
Date:	03/29/2009 04/05/2009
Location:	Cozumel Mexico
Amount:	1140.00
Deposit:	500.00

 

Person Reserving the Trip:
First	(Must be your legal name i.e., Birth certificate or Passport name)
Last
Address
City
State
Zip
Home #
Cell #
e-Mail

First Traveler:
First
Last
Date of Birth
Diver?	Diver Non-Diver

Second Traveler:
First
Last
Date of Birth
Diver?	Diver Non-Diver

Third Traveler:
First
Last
Date of Birth
Diver?	Diver Non-Diver

Room Accommodations:
# of Rooms:
# of Beds (per room):	Single (Standard) Double Triple
Smoking?	Smoking Non-Smoking

Remarks or Special Needs:

Your spot will be guaranteed, once we've received your reservation and you've paid the 500.00 deposit (per person) within 45 days of us receiving this reservation.

Thanks!