Cruise ship registration

Cruise Ship Passenger Reservation Request Form

Please complete the following information request form and one of our agents will contact you with the information you have requested. Thanks for your interest in diving with Cane Bay Dive Shop! * = Required Field

Name:

First Name

Last Name

Street Address:

City:

State / Country:

Zip or Postal Code

Phone:

E-mail:

Date of arrival:

Which Cruise Line are you arriving on?

If "Other" Please explain:

Time available to leave for excursion:

Date of departure:

SCUBA DIVING RESERVATIONS

Total number of certified divers for a one-tank dive at $70.00 each:

How many Nitrox divers at a $12.00 add-on each:

Please list any other special dive programs you would like to try:

DISCOVER SCUBA DIVING

Total number of students for the Discover Scuba Diving Course at $85.00 each:

GENERAL INFORMATION

How did you hear about us?

If referred or suggested by a local dive shop or travel agent, please list name and location:

Where did you go on your last vacation?

Please provide us with any additional requests or comments which may assist us in developing your custom quote:

<<< Home