Dayo Scuba Secure Credit Card Form
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Description of Services
(ie: Training)
you are purchasing
Agency PADI  SDI  TDI  IANTD  NAUI  NACD  NSSCDS  DAN
Dates of Visit
Name On Card
 
Card Number


Expiration Date  
Amount ( US $ )   
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Total Amount
Card Billing Address
(We verify this address to 
the one on the card)
 
Address (cont.)
City  
State/Province  
Zip/Postal Code  
Country
Telephone
Email

The Charges on your card will show up as being charged to
Dayo Technical Services


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Email: info@scubadiver.cc
Tele: 407-292-9727 or 321-663-0203 or 800-525-3296
Fax: 407-291-3296
Dayo Scuba
4555 Heritage Oak Drive
Orlando, FL 32808


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