Scuba Technicians Registry of the U.S.A.
WWW.SCUBATEC.INFO

 The Official web site for Qualified
SCUBA TECHNICIANS of the United States of America!
Application Form Page
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Scuba Technicians Registry of the U.S.A.
Application Form

Please fill out this Application to be listed and receive your Certificate:

  • If this Application is for Top Tec. Fill out this Application. Click on "submit" button below, which will send your info to the Main Offices e-mail for processing & web site updating.
  • If you are an Inital Applicant, Upgrade, or Renewal: Fill out this Application, print this page, and send it in with your other forms.
  • Send To:
Scuba Technicians Registery of the U.S.A.
Po Box 1595
Kealakekua, HI. 96750

Application, Upgrade or Renewal Form
First, Last Name & Number (if applicable):
E-Mail Address:
Phone #:
Address:
City:
Zip Code: (5 digits)
State:                                                                  
I have meet all requirements and Applying for:
Enter:
Level Applying for:        $Initail App: Renewal:
                                       Upgrade:

  • Member                    $35.00 : $0.00
  • Apprentice Tec          $35.00 : $15.00
  • Repair Tec                $35.00 : $15.00
  • Senior Tec                $35.00 : $15.00
  • Master Tec                $35.00 : $15.00
  • Repair Shop              $15.00 : $15.00
  • Instructional Center   $15.00 : $15.00
  • Dive Shop                 $15.00 : $15.00
  • Top Tec                      $0.00 : $0.00
  • Tec Hall of Fame        $15.00 : $0.00
If Your Application requires Sponsership, Fill in this section:
Enter
Shop Name / College:
Shop Address / e-mail / Phone #:
Tecs. First, Last Name & Number:
If Applying for Top Tec. Instructor:
Enter:

  • Company Name:

Other e-mail:
Other Phone #:
Check List: (3 Items and Check Box Below)
  • Check List:
  • (3 Items and Check Box Below)
(check the box) I assure that all Info provided is true and correct.


  • If this Application is for Top Tec: Fill out this Application then click on "submit"below, this will send your info to the Main Offices e-mail for processing and web site processing.
  • If you are an initial Applicant, Upgrade, or Renewal: Fill out this Application, print this page out, and send it in with your other forms.

  • Send To:
Scuba Technicians Registry of the U.S.A.
Po Box 1595
Kealakekua, HI. 96750

  • Send check payable to "BISR"or to use your credit card go to PayPal links below.

Pay by Credit card. Click on the SECURE PayPal Button for your Amount Due.
What is PayPal?





Click this Button for a one time $35.00 dollar payment with an AUTOMATIC annual $15.00 dollar renewal fee.

Click this Button for a $35.00 dollar one time payment.

Click this Button for a $15.00 dollar one time payment.

Click this Button for a $50.00 dollar one time payment.

Thank you for Supporting Scuba Technicians Registry of the U.S.A!
 
Comment Form:

Please enter any comments, questions, Sugjestions, or info up-dates into box below; click on "Submit" to send. Thank you for supporting the

Scuba Technicians Registry of the USA.

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Last Name:
Daytime Phone:
Evening Phone:
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Comments:

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