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Please choose one or more trips:
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Fiji Islands - Bega Lagoon - June 23rd - July 2nd, 2022
Channel Islands - July 27 - 31, 2022 - $1399p/p - $300 deposit p/p
Lake Tahoe - August 27, 2022
Bahamas Liveaboard - September 17-23, 2022
Fiji Islands - Bega Lagoon - Sep. 22nd - Oct.1st, 2022
Spice Island, Ambon, Indonesia: - Oct 27 - Nov 10, 2022
Philippines - Dumagete Resort: March 4-11, 2023
Philippines - Tubbataha on Azores Liveaboard: March 11-18, 2023
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Last Name:
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Birth Date:
Month/Day/Year
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Street Address:
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City:
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Zip Code:
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Email Address:
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Phone Number:
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Add additional Travelers?
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First Name:
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Last Name:
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Birth Date:
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First Name:
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Last Name:
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Birth Date:
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First Name:
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Last Name:
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Birth Date:
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First Name:
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Last Name:
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Birth Date:
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First Name:
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Last Name:
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Birth Date:
Month/Day/Year
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Payment Type:
Credit Card For Secure Online Payment or Payment Over The Phone
Credit card billing address and 3 or 4 digit code on card must match the home address and driverse license of the reservation holder.
No P.O. Boxes accepted. No Discover accepted.
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Visa
MasterCard
American Express
Credit Card Over Phone - Spot will not be held until payment has been made
I will come in and pay by cash or credit card
Payment Type:
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I will mail a check - Spot will not be held until payment has been made
I will come by and drop off a check - Spot will not be held until payment has been ma
I will come by and drop off a check - Spot will not be held until payment has been ma
Credit Card Payment:
Your Spot Will Not Be Held Until Your Payment Has Been Made. You must cancel at least 15 days before your first class date in order to receive a full refund. No Discover accepted
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Secure Form
Card Holders Name:
Secure Form
Credit Card Number:
Secure Form
Expiration Date (mm/yy):
Secure Form
3 Digit / 4 Digit CVV Code:
Secure Form
Billing Street Address:
Secure Form
Billing City:
Secure Form
Billing State:
Secure Form
Billing Zip Code:
Secure Form
Any Special Questions or Requests?
Please Bring To The Ocean:
Swim Suit * Towel * Sunscreen *
Pacific Ocean Sports
936 Detroit Avenue #E, Concord 94518
www.pacificoceansports.com (925) 687-5354