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Mer-Made Deep Certificate at Nemo33 22nd-23rd June Sign Up Form
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Email
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Your email
Name
*
Your answer
Phone Number
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Your answer
Have you filled out the Medical and Liability Form? (please fill it out now if you haven't yet!) Get it here:
https://drive.google.com/open?id=1qnzHS7aBLI-HFi4-hbn37vKh54ZoK2YO
Please scan your completed copy and send it to me at
emilywrong@gmail.com
*
Yes
No
Are you bringing your own tail?
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Yes
No, I need to hire one
What is your dress/trouser size AND shoe size? (sizing for tail hire)
Your answer
What Level are you?
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Mer-Made Deep Water - Yellow
Mer-Made Deep Water - Blue
Mer-Made Deep Water - Red
No Deep Water experience
Not Qualified but confident in deep water mer-ing
Other:
Is there anything else you want to ask or let us know about? Eg rooming/accommodation requests/special requirements (these may cost extra, eg if you want your own room)
Your answer
Cost is £220 per person based on 1 person sharing. Please confirm which method you have paid by. BACS is our preferred method of payment.
*
BACS to NoTanx Apnea ltd. Bank: Lloyds Sort code: 30-91-91 Account number: 31774568
Via Paypal:
paypal.me/NoTanxApnea/220
Please put your payment reference here if using BACS, or the email address you used for the PayPal payment if different from the address supplied above
Your answer
A copy of your responses will be emailed to the address you provided.
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