Scuba Yellow Pages


Secure Server Listing Form

Accommodations Only

(If you offer both diving and accommodations, click here)

If you offer dive services only, please use this form.

Payment may be made by



Standard Listing with logo - ($29. USD) (one-time fee)

We can copy your logo from your website or you may e-mail it to us (mail to

Copy from website. Will send by e-mail.

If you are making changes to an existing listing, please note this in the comments box below. There is no charge for changes on existing listings.

Please use normal puntuation. (Do not use all capital letters)

Property Name

Complete Mailing Address (please include country)

Telephone Number(s)

Fax Number

Accommodations Information (complete all that apply)

Number of Rooms:

Check In Time:

Check Out Time:

E-Mail Address

Website Address


Property Description, Max. 50 Words (Located with your listing)

Do you help arrange diving, or have recommended services?

Contact Name (for our records only)

Charge Account Information

Type of Charge (Visa, Mastercard)
Name (as appears on card):
Acct. #:
- - -
Exp. Date (month/year):
For Verification Purposes - 3 digit number found on back of your charge card.

Standard Listing
$29. USD - One Time Fee

You will receive an e-mail receipt once your card has been processed.
Your statement will reflect your payment to: Web Sites Designed (our parent company)


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