COIBA DIVE FEST RESERVATION FORM

Use this form to reserve your spot at COIBA DIVE FEST. Once this form has been sent, a COIBA DIVE FEST advisor will contact you to continue with the reservation process. THANK YOU

Date:*

Name:*

Last name:*

e-mail:*

Celular:*

Address (Street house number):*

City:*

Country:*

Package you wish to reserve

De Luxe Package. $1,200.00 per person Package De Luxe Special. $1,400.00 per person Family Package. $619.00 per person Primium Package. $800.00 per person Standard Package. $700.00 per person

Certifying agency:

NAUI PADI YMCA Militar Otro

Diving Level:

Specialty:

Deep Diver Wreck Diver Night Diver Fish Identification Drift Diver Dry Suite Diver Altitude Diver Search and Recovery

Comments: