This short form will enable you receive a card to receive 10 % discount from our normal advertised dive prices while on Maui. The card is free for the asking and will be mailed to you snail mail. It can be used for family and friends. There are great benefits that you will receive just for signing-up. Additional benefits are added throughout the year. The card is our way of saying thank you for diving with us on Maui. If you require more information please use our Toll-Free Number 1-877-873-4837 and we will be happy to help you. Enjoy diving from Maui.

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Maui Scuba Diving

Dive Member Application

Name:: Required
Address: Required
City: Required
State: Required
Province:
Postal Zip: Required
Country: Required
Phone: Required
Email: Required
Certifying Agency: Padi,Naui,SSi,YMCA,Other

Please check your information than click the "I Agree" box
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Maui Scuba Diving  

PO Box 13085, Lahaina, Maui, Hawaii 96761

Toll Free 1-877-873-4837

Copyright 2000-2007