suomeksi

Question Form

Question form in englis
Familyname:
. .
Firstname:
. .
Address:
. .
Postal code:
. .
State/Province:
. .
Country:
. .
e-mail:
. .
Sex: Male
. Female
. .
Age: under 20
. 20 - 30
. 30 - 40
. over 40
. .
I have scuba-dived for: 1 - 2 years
. 3 - 5 years
. over 5 years
. .
Do you have a scuba diving licence? Yes
. No
. .
My scuba diving team:
. .
I have: regulator
. octobussu
. boyance
. tank
. suit
. ..
Comments:
. .