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Number of Dives you have I want to take a course: Yes No
Last Time you Dove pick a month January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Chose a date 2003 2002 2001 2000 1999 More than 5 years ago
Do you have equipment: Yes No if Yes please indicate what you will bring with you
Mask Fins Regulators BCD Wet Suit light When would you like to start: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 Any Comments : (especially let us know how you feel about the site )
Would you like to have a photo contest ? Yes No
Do you have diving insurance ? Yes No Would you like to have information on diving insurance ? Yes No
If after submitting you come back to this page it mean you did not fill the required info. If you don't want to give this info just fake it
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