Information Request Form

Name (First, Last)*
Email Address*
Phone Number*
Date of Arrival*
Arrival Time of Day
Date of Departure*
Departure Time of Day
Where are you planning to stay*
Would you like Hotel/Rental Home Information*
 Yes, Hotel Information & Packages 
 Yes, Rental House Information & Packages 
 No, thank you 
Please list any accommodation preferences
Number of people in your party*
Services you are interested in*
 Diving (Certified already) 
 Learn Scuba 
 Kayaking / Paddle Boarding / Wild Turtle Encounter
 Island Hopping 
 Adventure Reef Dive or Snorkel Trip & Beach BBQ
 Reef Trip & Wild Dolphin Encounter  
 Bicycle Rental 
 Mooring Ball Rental Daily or Weekly (please specify in comments below) 
 Dockage Rental weekly or long term (please specify in comments below) 
Please specify additional information in Comment
Area below, such as number of people interested in
the services you have selected (ie; 2 Divers, 2
Comments/Additional Information for Services
selected above
Please specify additional information in this Comment
area such as number of people interested in
the services you have selected (ie; 2 Divers, 2
Check those that apply if you are requesting
 Learn to Snorkel 
 Discover Scuba 
 E-Learning via Internet - Open Water Diver 
 Open Water Referral 
 Jr. Open Water Diver (Ages 10-15 Years) 
 Open Water Diver 
 Specialty Diver Courses 
 Advanced Open Water Diver 
 Stress & Rescue Course 
 Diver Master 
 Asst. Instructor Course 
Special Request
 Request Brendal as Instructor 
 Request Staff Instructor 
Which Int'l Agency Course are you interesed in
 No Agency Request 
Please specify if 'Other' is selected above
Please select type of activity*
 Single Day Activity 
 Multi-Day Activity 
 Private or Group Day 
Please specify any other information or special
requests you have here
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Contact Info

Brendal's Dive Center Green Turtle Cay, Abaco, Bahamas

Phone / Fax: (242) 365-4411


VHF: Channel 16: "Brendal's Dive Center"

Skype: Brendals.Dive.Center

Find us on Facebook:  Brendals' Dive Center on Facebook  click here

See our Videos on YouTube:  Brendals' Dive Center on YouTube  click here

Job opportunities:Direct Phone / Fax: (242) 365-4411


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