Cruise Ship Passenger Reservation Request Form

Please complete the following information request form and one of our agents will contact you with the information you have requested. Thanks for your interest in diving with Cane Bay Dive Shop! * = Required Field
*Full Name:
Street Address:
City:
State / Country:
Zip or Postal Code:
Phone:
*Email:
Date of arrival:
Which Cruise Line are you arriving on?
If "Other" Please explain:
Time available to leave for excursion:
Date of departure:
   
SCUBA DIVING RESERVATIONS  
Total number of certified divers for a one-tank dive at $70.00 each:
How many Nitrox divers at a $12.00 add-on each:
Please list any other special dive programs you would like to try:
   
DISCOVER SCUBA DIVING/RESORT COURSE  
Total number of students for the Discover Scuba Diving Course at $85.00 each
   
SNORKELING & BEACH CHAIR RESERVATIONS  
Total number of snorkelers with beach chairs at $34.00 each
Total number of beach chairs only at $25.00 each
   
GENERAL INFORMATION  
How did you hear about us?
If referred or suggested by a local dive shop or travel agent, please list name and location: , ,
Where did you go on your last vacation?
Please provide us any additional requests or comments which may assist us in developing your custom quote:

Can We Keep You On Our Email List?cane bay dive shop

Email Preferences Yes, please keep me on your mailing list for specials and updates.
No thanks, do not add me to your mailing list.
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