Scuba Yellow Pages

DIVE PRODUCTS FEATURE SUBMISSION


This form is for Products/Equipment Listings Only.
We will use this information along with additional information

and photos from your website to set up your Feature Package.



 

Company Name:

 
 



Contact Information

Address:

City, State, Zip Country

Phone:

Fax:

Email:

Web:


Product(s) Offered


Sales

Mail Order

Internet Purchase

These Credit Cards
Accepted for
Mail Order/Internet

Through Dive Stores:

Other Outlets (explain)



Additional Information:




Charge Account Information

 
Type of Charge (Visa, Mastercard)
Name (as appears on card):
Acct. #:
- - -
Exp. Date (month/year):
3 Digit Security Code (located on back of card)
(For verification purposes)


Your Charge for Scuba Yellow Pages - $59. USD annually.
Your statement will reflect this charge to:
Web Sites Designed - Our Parent Company


 
     
     

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A Worldwide Scuba Diving Travel Resource