Sign-up Form Go-Pro Mexico
About this Form
Please use this form ONLY if you are applying for the Divemaster or Instructor Internship or Courses. For questions please write to christianelton@yahoo.com. Fill in the following information answering all questions so that we may process your application. You will receive a confirmation of your reservation within 24 hours.
Personal Information
First Name
*
Last Name
*
eMail
*
Confirm eMail
*
Address
City
State/ Province
Country
Phone Number
Would you like us to Contact you by phone?
Yes
No
Personal Diving Information
Are you currently a Certified Diver?
Yes
No
Certifying Agency
Please select...
PADI
SSI
NAUI
SDI
Other....
Level of Certification
*
Please select...
None
Open Water Diver
Advanced Open Water Diver
Rescue Diver
Dive Master
Instructor
Total Dives
*
Please select...
0
10+
20+
30+
40+
50+
60+
70+
80+
90+
100+
250+
500+
1000+
Certified since?
*
Please select...
0-3 Months
3-6 Months
More then 6 Months
Program you are Interested in?
PADI Divemaster Programs
Please select...
Go-Pro 1 Open Water Diver to PADI Divemaster
Go-Pro 2 Advanced Diver to PADI Divemaster
Go-Pro Divemaster Course
PADI Instructor Packages
Please select...
Basic PADI IDC
Platinum Pro IDC (PADI Materials, PADI IDC, EFRI and MSDT Prep)
Mayan Pro IDC (PADI Materials, PADI IDC, EFRI, MSDT Prep, IANTD Cave Diver Course and PADI Cavern Instructor)
Combination Programs
Please select...
Go-Pro 1 + Platinum Pro IDC
Go-Pro 2 + Platinum Pro IDC
Go-Pro Divemaster Course + Platinum Pro IDC
Go-Pro 1 + Platinum Pro IDC+ Work Experience Scuba Internship
Go-Pro 2 + Platinum Pro IDC+ Work Experience Scuba Internship
Go-Pro Divemaster Course + Platinum Pro IDC+ Work Experience Scuba Internship
Go-Pro 1 + Work Experience Scuba Internship
Go-Pro 2 + Work Experience Scuba Internship
Go-Pro Divemaster Course + Work Experience Scuba Internship
Platinum Pro IDC+ Work Experience Scuba Internship
When would you like to start?
Please select...
January 2008
February 2008
March 2008
April 2008
May 2008
June 2008
July 2008
August 2008
September 2008
October 2008
November 2008
December 2008
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
August 2009
September 2009
October 2009
November 2009
December 2009
Preferred method of Payment
Dive College Mexico require's a 25% deposit on the Program you choose to take. The Balance is due prior to starting your Program. Payments can be done either by PayPal (4 % Additional Charge for Credit Card Fees) or by Bank Wire-Transfer.
I would like to pay my 25% Deposit through..
*
Please select...
PayPal
Bank Wire-Transfer
Additional Comments/ Questions
Comments
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