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Scuba Instructor Registration Form step 02 of 04
Use the following form to be added to our Scuba Instructor searchable database.

* indicates required fields
Promo Code & Referring Source
promo code:
 How did you hear about us?*
 
name of dive buddy/instructor?*
which dive shop referred you?*
which website referred you?*
what trade show did you see us at?*
which magazine did you see us in?*
which newspaper did you see us in?*
what television show did you see us in?*
which radio station did you hear about us on?*
In what city was the billboard located?*
please include referring source:*
Login Information
User name*:

 (This will be your screen name)
password*:
(must be at least 6 characters)
 confirm password*:
(must be at least 6 characters)
 
Contact Information
first name*:
 last name*:
street address*:
street address2:
city:

 country*:
zip/postal*:

 Province/State*:

 Province/State:
phone number*:

 Toll-Free:
email address*:
website address:
Year certified to Teach*:

 Instructor number*:
Total Years Diving*:

 Total Number of Dives*:
email me gear alert messages*: yes no
Training Information
I offer training under this certification Agency(s)*:
Hint: Hold down the Ctrl button to select multiple agencies



  1. Expand Your Teaching Base
  2. Benefit from TSR marketing campaigns
  3. Page View Report on Your Homepage
  4. Drive Users to Your Own Website
  5. Cost is just $59.95 US per year.

Why Register?

Targeted student leads
When a student searches for a instructor results are based on locale. Local users mean local students.

How does it work?
Members search for information based on their criteria. If they are interested in your training services they can use the contact form directly from your profile page and submit their comment or question directly to you. The information is sent straight to your inbox without actually sharing your email address. You then review their enquiry and contact the potential student directly.

Expanded Marketing Opportunities
As a member of the registry you benefit from our marketing efforts to communicate with targeted segments of the dive community. Whether your focus is gear sales, training, charters or service there is a market for you on The Scuba Registry. Companies can spend $1,000's on a single marketing camapign and not reach a fraction of the unique users The Scuba Registry sees on a daily basis. As a member of the Scuba Registry you benefit from not only your placement on the website but from our continued efforts to promote your business to targeted divers.

How much does it cost:
As an introductory offer Instructor memberships are available for a yearly renewal fee of only $99.95 US.