Registration Form

Dive Operator Registration Form

If you are a dive school or dive operator, please register your company below.

Fields marked with an * are mandatory.
Name of Organisation *
PADI member	Please tick, if yes
PADI number
PADI rating
Memberships: Other
Dive resort	Please tick, if yes
Dive school	Please tick, if yes
Dive courses	Please tick, if yes
Name Course # 1 *
Currency Course # 1 *	or else specify below:
Fee Course # 1 *
Name Course # 2
Currency Course # 2
Fee Course # 2
Please describe other courses that you offer
Do you organise dive trips locally?	Please tick, if yes
Do you organise dive trips abroad?	Please tick, if yes
Do you have your own dive shop?	Please tick, if yes
Address *
Address line 2 *
City / Town / Village *
County - province - state *
Post code *
Local Region
Country *	or else specify above: ∆
Main telephone *
Fax
e-Mail *
URL home page *
Title Marketing Director *
First name (Marketing Director) *
Last name (Marketing Director) *
Telephone Marketing Director *
e-Mail Marketing Director *
Please describe your local dive attractions. Up to 30 words are included in the free description.

Please describe your organisation and facilities. Up to 50 words are included in the free description * (Your description may also be displayed on our sister sites). We reserve the right to edit, shorten or change any text.


Registering Person
Title *
First Name *
Last Name *
Official job title *
Company *
Address Line 1 *
Address Line 2
City *
State - province - county *
Zip code *
Country *
Direct Telephone Line * (please incl. country and area code)
Your assigned company e-mail address *
Package ordered *
Do you have an Advertising Budget?
Please select currency
What budget would you contemplate to spend with us.

Please comment if you would be interested in any other marketing services, that we may be able to provide or any other comments and feedback you wish to share with us:




I certify that I am an official representative of the organisation and I am the sole author or sole copywrite owner of the material, that I am submitting. I agree that you and your site owners, partners and licensees may publish, display, edit, reproduce, distribute, modify, create edited and amended content and otherwise use the text for any purpose in any form and in any media and publication. I agree to indemnify you for all damages and expenses that may be incurred in connection with the material. You have read and accepted the terms and conditions *


You must click YES and accept the terms and conditions in order to qualify for a listing.	No: Yes:

We reserve the right to refuse any registration without without explanation, and for any reason.