Form

Enriched Air Nitrox Course Sign Up

Please fill out the form completely to ensure a successful enrollment:

First Name:*

Last Name:*

E-mail:*

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birth Date:*

Month Day Year

Phone #:*

- Area Code Phone Number

Highest Certification Level:*

Certification Agency:*

Certification #:*

Choose Your Course:*

SDI Computer Nitrox Diver - On-Line $99.00 USD
SDI Computer Nitrox Diver - On-Line with Nuvair O2 QuickStick Analyzer $329.00 USD
SDI Computer Nitrox Diver - Classroom $99.00 USD
SDI Computer Nitrox Diver - Classroom with Nuvair O2 QuickStick Analyzer $329.00 USD
PADI Enriched Air Diver $179.00 USD
PADI Enriched Air Diver with Nuvair O2 QuickStick Analyzer $409.00 USD
TDI Basic Nitrox Diver $179.00 USD
TDI Basic Nitrox Diver with Nuvair O2 QuickStick Analyzer $409.00 USD