LONG POINT DIVERS
P.O. Box 1150, Port Dover, ON N0A 1N0 Tel: (519) 426-2590 Fax: (519) 426-8352
Email:
lpdivers@xplornet.com Website: http://www.longpointdivers.com/
Registration Form – Open Water Diver Course
Name (s): ______________________________________________________
Address: ______________________________________________________
______________________________________________________
Postal Code: ______________ Telephone: ________________________
Email Address: ________________________________________________
Course: (please check one) ____ April, 2009 _______ May, 2009
A $75.00 deposit per person is required to confirm your
reservation and receive course materials prior
to the start of the class
____ Cheque/Money order enclosed (payable to Long Point Divers)
(Sorry – we no longer accept credit card payments for courses)
** Registration deadline is 1 week prior to course date **
Cancellation Policy:
Materials received prior to course are non-refundable.
Notice of cancellation must be received 5 days prior to start of class to
receive refund.
Please mail completed form with your deposit to the address above.
Thank you for registering
!!