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Zoea Group
- ONLINE BOOKING
ZOEA MALLORCA -
Booking form
Instructions
General details
* Number of people
1
2
3
4
* Date of stay in Majorca
-
* E-mail
* E-mail (confirm)
* When do you like to start?
Name of the hotel / apartment
Situated in the area
I have no accommodation
Do you need free pick up from you accommodation?
Sí
No
(only in Calvià council)
Personal details
Person 1
Person 2
Person 3
Person 4
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
* Name and surname
* Date of birth
* Mobile phone
* Highest diving level
Choose the best option
I have no licence
I have done one or several try-out dives
Scuba Diver or equivalent
Open Water Diver, Ocean Diver, 1 star diver or equivalent
Advanced Open Water Diver, Ocean Diver, or equivalent
Rescue Diver, Sports Diver, 2 stars diver or equivalent
Divemaster, Dive Leader, 3 stars diver or equivalent
Assistent Instructor, Club Instructor, 1 star instructor or equivalent
Instructor or higher
* Nr of dives
Choose one
None
1 to 5
6 to 10
10 to 20
20 to 50
50 to 100
100 to 300
300 +
* Date of the last one
Choose one
Never
This month
1 to 2 months
2 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years
5 years +
* Excursions/ courses you would like to book
Comments
I accept the
privacy policy
Zoea Mallorca, Diving Center
| Tel:
(+34) 971.691.444
| Fax: +34 971 691 564
Club Naútico Sta. Ponsa
-
07180
-
Calviá
,
Majorca
(
Spain
)
-
diving@zoeamallorca.com
ZOEA Mallorca © 2009
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