If you have any questions, comments, suggestions, or just want to communicate, you can contact us through the information in the table below. If you wish to make a reservation, or need specific information concerning a dive experience with Hugh Parkey's Dive Connection, please use the form below.

Hugh Parkey's Belize Dive Connection
PO Box 1818
Belize City
Belize
Central America
Tel: 501-220-4024 (Office)
501-223-5086 (Dive Center)
Toll Free: (888) 223-5403
Fax: 501-223-7874
E-mail: hugh@belizediving.com

RESERVATION/INFORMATION FORM
Note: At a minimum please fill in all items with a "*"

*FIRST NAME:
*LAST NAME:
ADDRESS:
CITY:
STATE/PROVINCE:
COUNTRY:
ZIP:
*E-MAIL:
TEL:
FAX:
*How did you hear of HPBDC?
Name of Cruiseline, Dive Shop or "Other":
What time of the year would you like to travel?
How many weeks do you vacation?
Do you have a passport? - Yes     - No
What are your interests?
-Diving -Snorkeling -Fishing
-Kayaking -Caves -Educational Program
-Ruins -Rainforest
If travelling with a non-diver, what are their interests?
-Fishing -Caves -Horseback riding
-Ruins -Birds -Canoeing
-Rainforest
Are you interested in ? -Day Package -Multiple night packages
-Customized packages
Are you interested in instruction?
-Student referral
-Reef Fish Identification
-Advanced Openwater 		-Snorkeling
-Resort Scuba
-Openwater certification
*Comment:

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