MIKE
POTTS DIVING at DIVERS DOWN SWANAGE.
BOOKING FORM
Name: |
Address: Email: (Please write clearly) Tel: Mobile: |
Emergency contact number: (Please use a number which could be
used during your course.) |
Course required: |
|
Course start Date: |
Cost:
|
|
Deposit:
(Non refundable as materials
will be sent to you at this stage.) |
I would like to book
with Mike Potts Diving at Divers Down Swanage as indicated Signed:
_____________________________________________________________________ ` NB: A booking form can only be accepted if this form is completed and signed. Thank you for booking with Mike Potts Diving at Divers
Down Swanage.
Please return this form to:
Mike Potts. The Pier, High Street, Swanage. BH19 2AR.
|