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bitte
diese seite ausdrucken, unterschreiben und an
uns faxen! falls kein fax vorhanden, bitte per post zu-
senden
condorito,
seestrasse 118 - 8700 küsnacht - schweiz - fax+41 044 910 33 89 -
info@condorito.ch -
(weitere details siehe contact)
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booking
for course
note
type of course here:
booking
for dive trip
note
destination / travel dates here:
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__________________________
__________________________
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| please
answer all questions! |
name
/ surname: ______________________________
address: ______________________________
zip/town/country: ______________________________
date of birth: ______________________________
tel. private / mobile: ______________________________
e-mail address: ______________________________
please send me the travelinformation by......
(e-mail or post approx 3 days before departure)
dive certificate / since: ______________________________
freshwater experience: yes / no
(please cross the wrong choice)
river experience: yes / no
logged dives: ______________________________
quote your dive equipement: yes / no
I'm
physically fit for scuba diving:
yes / no
l
need (divematerial):
______________________________
my
weight kg:
______________________________
indicate
body and footsizes:
______________________________
please
debit my creditcard
no.:
______________________________
expiry
date:
______________________________
amount:
______________________________
I am accepting the conditions of condorito homepage or brochure.
place, date:
______________________________
signature:
____________________________________________________________
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