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COURSE SIGN UP


e-mail : info@kurzypotapania.com
tel. :+421 903 474 988 T-Mobile

This sign up is only for informational purposes until the payment .
This registration becomes binding agreement when the course fee is payed. The last day for course payment is the day of the begining of the course. Fields marked with * are necessary to fill in.

PERSONAL INFORMATION

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PLEASE FILL IN YOUR LAST DIVING CERTIFICATE INFORMATION

Level of Certificate:

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I AM SIGNING UP FOR THE FOLLOWING COURSES :

Recreational Diving

Technical Diving

Basic Course

Advanced Nitrox Diver

Advanced Course

Technical Diver

Normoxic Trimix Diver

Trimix Diver

Recreational Specialization

Instructor

Rescue Diver

Dive Master

Deep Diver

Open Water Instructor

Night Diver

Advanced EANx Instructor

Dry Suit Diver

Search & Recovery Diver

Ice Diver

Nitrox Diver

I REQUIRE THE FOLLOWING DIVE EQUIPMENT :

Recreational Diving

Technical Diving

Full equipment

 Full equipment

I will use my own

 I will use my own

Partial equipment, please specify in the message

Partial equipment, please specify in the message

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