Society Membership Form

Please print this form then bring or send it, with the membership fee, to
Adventure Divers, 241 Bullsmoor Lane, Enfield, London

Full Name (Inc Title):
 
Address :

 

 

 
Postcode :
 
Email :
 
Home Phone :
 
Work Phone :
 
Mobile :
 
Date of Birth (dd/mm/yyyy):
 
Occupation :
 
Current Diving Certification :
 
Specialties Obtained:

 

 

 

Preferred Response Method: Send E-mail   Send fax   Please call

Would you like to receive details of special offers ? Yes No

Would you object to you name and telephone No. being on a members register or buddy line list?
Yes No

Membership Fee is £30 per year, cash or cheque made payable to "Adventure Divers".
Membership runs for 12 months from the day you join.
Please inform us of any contact information changes.

Please make sure we have a valid email address; this is our preferred method of contact to keep you informed of any events planned, special offers, trips & newsletters. Remember to also add us to our your 'Safe' list or it might not reach your inbox.

Data entered in this form will be kept in an electronic database and used for marketing purposes. You may have your data removed from this database by sending an email to Scuba@AdventureDivers.co.uk requesting its removal.
Information entered will not be shared with third party companies without your prior consent.
Please see our Privacy Statement for further information.