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MODULO ACQUISTO "Stagionale Free Dive"

DATI ANAGRAFICI

Date*

Name *

Surname *

Living at : Street/Road *

N. *

Postcode *

City *

Province *

State *

Telephone *

Fax

Mobile Phone *

E-Mail *

LA TUA CERTIFICAZIONE

Open Water Diver

Adwanced Water Diver

CPR

Stress & Rescue Diver

Dive Master Diver

Istructor

Master Istructor

Trainer

Order Seasonal Free Diving

Stagionale Free Dive INT 299.00 Euro

Stagionale Free Dive DIN 499.00 Euro

Payment by bank transfer - (if already paid; if not yet paid please insert 00000 in the necessary boxes)
From Italy : CAB. 01030 ABI. 70651 C.C. 789601 - COD. BBAN. A 01030 70651 000000789601
Outside Italy : COD. IBAN IT 81 O 01030 70651 000000789601
Note : The CRO code can be found on the copy of the bank transfer

CRO code

Date of Transfer

Amount of Transfer

Please remember to send a copy of the transfer to info@marinadicampodiving.com
CONDITIONS

Accept the General Conditions of “Seasonal Free Diving”

Buy sending this form I accept the obligation to buy.

Declare that the information given is correct and reliable.

Accept the privacy rules and conditions as in D.LGS. 196/2003, Privacy.

Diving Center Isola d'Elba