Contact information:

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Comments or questions

Please tell us how you heard about Cuan Law

Rate Information

If you are booking a trip we will also need a deposit and the following information:

How would you like to pay?

Personal check and mail to above address

Credit Card and phone or fax us at above numbers

Special dietary requirements

Details of air reservations

Each of the ten 2-person cabins is available with either twin beds or double bed. Please indicate which you prefer on the form below. One of the main activities on Cuan Law is scuba diving. Please define your interest and ability by choosing one of the numbers in the column as defined below:

1. Non-diver, no interest in learning (that's okay!)
2. Beginner, would like to learn
3. Some instruction but not certified
4. Certified but with little or no open sea experience
5. Experienced certified diver with varied open sea experience
6. Expert master diver

	Name	Age	Sex	Country	Occupation	Twin or Double Room	Scuba Experience
1							(1-6 see above)
2
3
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THE FOLLOWING FIELDS ARE REQUIRED IF YOU ARE BOOKING A RESERVATION

I/we confirm that I/we have read the cancellation policies set out on the Rates page and fully understand them.
I/we confirm that I/we are making arrangements for travel insurance for the trip.

Name

Date