Cozumel, Mexico

November 7-14, 2009

Scuba Club Cozumel

   
         
 

Please print this form, fill it out and enclose a deposit check for $350 per person.  Please make checks payable to Goin' Down Divin' and mail to 2772 Milton Grove Road, Mount Joy, PA 17552.  

Person #1_________________________________________________

Person #2_________________________________________________

Address___________________________________________________

City_________________________, State____  Zip________

Home Phone___________________    Work Phone____________________

email address_______________________________________________

 

Dive Package:   Person #1         Person #2          (check the appropriate choices)
               Diver     _______           _______
    Non-Diver     _______           _______

 

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