Omni Divers Underwater Services, L.L.C. - Omni Travel Adventures

ESCORT(S):
GRAHAM MCMULLEN (Sacramento, CA)
TRIP SPONSORS:
PHIL GRAF (Boise, ID)
GRAHAM MCMULLEN (Sacramento, CA) BILL KNOBLAUCH (Sacramento, CA)

An Omni Divers Underwater Services, L.L.C. and
Omni Travel Adventures Group Trip

March 23 - April 4, 2002
DIVERS $2,425 per person double occupancy
Airfare from Los Angeles - your cost may be different!

SPACE IS LIMITED ** SPACE IS STILL AVAILABLE
RESERVE YOUR SPOT NOW, Call or E-mail US Today!

Cashiers Check due NOW! for $400 as a deposit for the trip
Monthly Checks of $400 on September 12, 2001.
Monthly Checks of $400 on October 12, 2001.
Monthly Checks of $400 on November 12, 2001.
Monthly Checks of $400 on December 12, 2001.
Final payment in Full DUE January 12, 2002!
Cancellation subject to $400 cancellation fee per person plus any additional charges by thr resorts or airlines!

Contact Graham McMullen at (916) 974-1193 or Phil Graf at (208) 345-1990 or Bill Knoblauch at (916) 852-1928 to reserve your space.
Final balance of payment is due January 12, 2002, otherwise you will forfeit your deposit and your space will be automatically released.
All prices are subject to change until paid in full. Mastercard/Visa is accepted for airline fare only.
Each Traveler Must Complete the Following:


Please print out form and send to Graham or Phil or Bill.

Legal Name __________________________________________________________________________________

Birthdate __________________________________________________       U.S. Citizen?   YES     NO

Address __________________________________________  City _____________________  State ________

Telephone Home __________________________________  Telephone Work ____________________________ 

FAX ___________________________  e-mail ______________________________________________________

Rooming With _________________________________________________________________________________

Passport Number ______________________________________________ Expiration ____________________

Are you a certified diver?   YES   NO 

Certification Agency and Number ______________________________________________________________

Number of Dives __________________________________
Number of Dives in the past year ______________________________
Date of Last Dive __________________________________

DAN Insurance Required! (or similar diver accident insurance coverage)  YES   NO
DAN Insurance Number ____________________________________________________
Would you like to arrange monthly payments?  YES   NO

Emergency Contact Not Traveling With You:
Name _________________________________________________________Relationship __________________
Telephone _______________________________________________________

I understand that the deposit of $400 is nonrefundable. Refunds will be made as follows: 0 to 90 days before departure or after departure - NO Refunds, 120 to 90 days before departure - 50% of the trip cost less the deposit and more than 120 days before departure - the cost of the trip less the deposit. There is no refund for any unused part of the tour/trip/meals/hotel/diving, etc. All prices including airfare are subject to change until paid in full. I accept responsibility for any costs incurred by airline schedule changes and any changes in taxes for air, hotel, meals or diving, etc.

I have also been informed of DAN insurance and am aware that my medical insurance may not cover snorkeling or diving medical emergencies and medical evacuation. I understand that my legal name on my plane ticket must match my passport. For countries not requiring passports, legal name must match government issued embossed birth certificate and driver's license (except, women using married name must also bring marriage license). If names do not match, I may be charged a fee or can be denied boarding and would be responsible for any costs incurred.

I have been informed of the availability of trip insurance that would cover certain conditions that may cause me to cancel/interrupt my trip. It is my responsibility to check with my physician for any immunizations or medication required or recommended. Also contact Central District Health in Boise or your local office for health services in your area.

Omni Divers Underwater Services, L.L.C. and Omni Travel Adventures arranges for your travel services with reputable hotel, airline and other independent suppliers who provide the service you purchase. However, Omni Divers Underwater Services, L.L.C. and Omni Travel Adventures does not have direct control over them; therefore Omni Divers Underwater Services, L.L.C. and Omni Travel Adventures, its directors, agents and employees assume no responsibility or liability for the weather, services, transportation or equipment made available or as to its safety, quality or condition, nor for acts of any employee or agent of any establishment, firm, person or entity furnishing such service, transportation or equipment. Nor does Omni Divers Underwater Services, L.L.C. and Omni Travel Adventures, its directors, agents and employees assume any responsibility or liability for the safety of any participating client engaged in water activities above or below the water. We are committed to your satisfaction and thank you for your business and cooperation.


Signature ___________________________________________________ Date _________________________

Deposit Date ___________________
Amount: ___________ Credit Card MC/V ______________________________ Cash ___ Check No. _____

Payment Date ___________________
Amount: ___________ Credit Card MC/V ______________________________ Cash ___ Check No. _____

Payment Date ___________________
Amount: ___________ Credit Card MC/V ______________________________ Cash ___ Check No. _____

Payment Date ___________________
Amount: ___________ Credit Card MC/V ______________________________ Cash ___ Check No. _____

Payment Date ___________________
Amount: ___________ Credit Card MC/V ______________________________ Cash ___ Check No. _____

Trip Brochure ______________________________________________
Trip Insurance Brochure ____________________________________
DAN Insurance Brochure _____________________________________

If you need more information,
please e-mail us at omnidive@omnidivers.com.