(one registration form per attendee)

* please note: there is an additional registration form for participating in the Flea Market & Consignment Shop - see below

Name
Street
City
State
Zip
E-mail
Tel

I WANT TO ATTEND the FREE Dive In Festival. When you register online, you are automatically entered into our Drawing.

I CANNOT ATTEND but want to support the IAHD-Americas, Inc.
handicapped diving programs.
Enclosed is my tax deductible donation in the amount of $ _____

I WANT TO BE A SPONSOR

“Whale Shark” Gold Level              $1,000

 

"Eagle Ray” Silver Level                 $750

 

"Great Barracuda” Bronze Level       $500

 

“Dive Team Circle” Level                $100

I’VE GOT THINGS TO SELL!!!  I am registering for a table at the Flea Market/Consignment Shop.  Enclosed is my $20 tax deductible donation to IAHD-Americas, Inc, and the Flea Market/Consignment Registration Form.

I WOULD LIKE to exhibit at the Festival.  Please contact me.

I WOULD LIKE to be a guest speaker or make a presentation at the Festival.  Please contact me.

I want to Discover Scuba Diving!

 

Please choose a session 12pm-1pm 1pm-2pm 2pm-3pm 3pm-4pm 4pm-5pm 5pm-6pm

 

Please send check or money order payable to IAHD-Americas, Inc. 
      Mail to:  Indian Valley Scuba, 601 Yoder Road, Harleysville, PA  19438

All proceeds benefit IAHD-Americas, Inc., a 501(C)(3) non-profit corporation and are fully tax deductible.

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