CGSB
SCUBA Club Red Sea Holiday Booking Form
Sunday
October 25th – Sunday November 1st 2009
Please fill in the details below, then
<Right Click> and <Print> your
booking form, and sign and date it.
We have to receive an original signed
copy and payment before we can accept a booking.
MY PARTY DETAILS: NAMES MUST BE AS THEY APPEAR ON YOUR PASSPORT
First Names Family
Name
Lead Person:
Date
of Birth: //19 Age:
Diving
on this holiday:
Person 2:
Date
of Birth: //19 Age:
Diving
on this holiday:
Person 3:
Date
of Birth: //19 Age:
Diving
on this holiday:
Person 4:
Date
of Birth: //19 Age:
Diving
on this holiday:
ADDRESS:
Number/Street:
District:
Town:
County:
Postcode:
Landline Number:
Email Address:
How did you first learn about the holiday
?
I WOULD LIKE TO BOOK FOR:
Number of
Persons: @ £655.00 £
Number of Dive
Packages: Diving Total: £
PAYMENT: £
The information I have given above is
correct.
I understand that I am committing to the full
cost of the holiday.
Signature: Date:
Countersigned by Parent or Guardian (if
you are under 18).
Minors may travel without parents only with an “In Loco Parentis” form
Full Name: Relationship:
Signature: Date:
Now please <Right Click> on the mouse and <Print> this form, then sign and date in ink
Please make cheques payable to: “ Invicta Divers
”. Post your completed booking form,
with payment to:
Invicta Divers, 30
Hartlip Hill,
If you have any difficulty printing this
form, please contact us on 07977 59 53 52 or info@invictadivers.com