East Africa Diving Holiday Booking Form

Thank you for choosing East Africa Diving for your African Diving Holiday adventure.

You can relax, safe in the knowledge you have chosen to Holiday with experts with many years experience in East Africa and who are committed to supporting conservation of Africa's rich heritage for future generations.

See you Underwater!

East Africa Diving Booking Form

1. Divers Details:

	Title	First Name	Last Name	Date of Birth	Room type	Diver / Non-Diver
1
2
3
4
5
6

2. Address Details for all Correspondence:

Address 1	Address 2
Town/City	County/State
Country	Post/Zip Code
Contact Tel.	Mobile Tel.
Email	Confirm Email
IMPORTANT In an Emergency, please contact the following:
Name	Tel.	Mobile

3. Safari Details:

Choose Your Dive Holiday	Preferred Start Date
Please confirm that you have/will arrange comprehensive travel insurance for all people on your booking, including for Scuba Diving, recompression chamber & all other associated costs
By ticking the following box, I agree that I have read & understood the terms & conditions and accept them on behalf of all members of my party by whom I am duly authorised to make this agreement. Terms & Conditions