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Sea Tech Marine Training On-Line Registration Form

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Thank you for choosing Sea Tech Marine Training!     You may use this on-line form to start your registration process. In order to better serve you, please fill in the required information as accurately as possible. Please insure that your telephone number and email mail address are correct.

Please Note:
On-Line Registration is quick and easy. However, without receipt of your pre-paid deposit, your on-line registration can only be honored for two weeks from the date we receive it.

Deposit Required   Remember that we can only reserve a place in the class of your choice with a prepaid deposit. For additional information on our deposit procedure, please click here.

Once we receive your On-Line Registration Form, we will contact you as soon as possible to arrange for the payment of your deposit.

Using this Form     If you would like instructions for using this form, please click here.

Data fields below with sample information already in them are required fields. Blank data fields are optional and can be used if needed.

Clicking on the      "Send Form"      button below will submit your data directly to us via email. If your submission was successful, the server will send back a confirmation screen listing the contents of the form you just sent. Use your browser's      "Back"      button or function to return you to this On-Line Registration Form.

If you should discover an error after sending in the form, simply fill in the form again and resend it. The forms will be checked and compared here. If you have any questions and/or problems, please feel free to give us a call or send us an email.

*Note: this form can not be submitted without a valid email address entered below.



Registrant Information 
First Name Last Name
Street Address 1
 
Street Address 2
 
City State Zip
Home Phone Other Phone/FAX
* Required Field  Email Address
 
Class Location Class Date
 
Comments or
Explanation
Limit of 300
Characters Max
 
         
 


Other On-Line Forms 
For your convenience, we have posted a few essential US Coast Guard License application and some other useful forms on-line for downloading. These forms can be found by clicking here . This page should open in a new window.



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Services, Courses, Schedules, Instructors 
Check our other pages (links on the left) for additional information on our instructors, other services that we offer, and descriptions of the courses that are currently available through Sea Tech Marine Training.

Information on classes that are either planned or already scheduled can be found on the Schedule page together with our fees. If you have any questions, please feel free to call us directly or send an email to: