Commercial Diving Academy
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Commercial Diving Academy
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Please choose an area of certification:
Choose One:
Air/Mixed Gas Commercial Diver
DCBC Assessment
Dive Medic Technician
Emergency Medical Technician
Hyperbaric Chamber Technician
Sport Diving Instructor
Underwater Welding Specialist
First Name:
Last Name:
Address:
Apartment/Unit Number:
City:
State:
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Home Phone:
Cell Phone:
E-mail:
Date of Birth:
Please use the following format: mm/dd/yyyy.
I am able to be in Jacksonville Florida for a minimum of 20 weeks and willing to study for 10 hr days:
Choose One:
Yes
No
I am aware the basic course fee is $19,800 US:
Choose One:
Yes
No
Country:
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I am interested in attending:
Choose One:
as soon as possible
next 3 to 6 months
the coming year
interested in the information only
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