Credit card form

Please use this SSL-secured form for sending us your credit card details. We will NOT use it, except in case of cancellation or no-show, or on your explicit request. In case of cancellation or no-show we will charge the card as per our terms and conditions.

You are welcome to pay in our shop using other commonly accepted payment methods.

Name: *

First

Last

Email used in prior communication: *

Card Holder name: *

Card Number: *

Exp. date: *

Card Identification number: *

Amount ($):

Credit card payments are subject to 5% surcharge. You are welcome to pay in our shop using other accepted payment methods. Your card is never charged before your dives.

I authorize Pure Diving Aruba to charge the amount above to the card listed above. *

• I agree

I allow Pure Diving Aruba to determine the correct amount to charge my card in case no amount, or the incorrect amount, is entered in the "Amount ($)" field. *

• I agree

I agree to pay for this purchase in accordance without further written authorization from me: *

• I agree

I accept the terms and conditions (including the cancellation/no show policy) on https://www.puredivingaruba.com/terms-conditions/ *

• I agree

Submit