Name:
Address:
Day time telephone no.------Mobile Telephone no. E-mail address (for course joining instructions):
Course name(s)
Course date(s) Diving Qualification (if necessary):
Details of accomodation required: yes no Only available for Portsmouth courses.
Deposit £20 Enclosed for Introduction course Receipt yes no Deposit £50 Enclosed for Part I course Receipt yes no Deposit £50 Enclosed for Part III course / Summer School Receipt yes no
Please make cheques payable to NAS Training
For further information or return your booking form to:- NAS Training, Fort Cumberland, Fort Cumberland Road, Eastney, PO4 9LD Tel/Fax: 023 9281 8419 Alternatively you can book over the phone and pay be credit/debit card