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2019 Save the Dates
Upcoming SCUBA Events
NYS Codes Information from DOS
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SCUBA Association Objectives
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Individual Registration
First Name
*
Last Name
*
Organization
*
Address
*
Address 2
City
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Zip
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State
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Phone
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Fax
Email
*
Comment
NYS Training ID
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Vegetarian Lunch Options
*
Yes
No
Payment Information
Amount
$
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Pay with Debit or CC no PayPal Account needed
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Billing Zipcode
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Credit Card Number
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Expiration Date
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2019
2020
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Card (CVV) Code
*
Card Type
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Visa
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Card Holder Name
*
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