New/Renewal For 2008
Annual Membership Dues (calendar year) are $150.00 (Business) (Resort) (Manufacturer) or $25.00 (Individual) payable to HIRSA.

Membership Agreement

By signing and submitting this application, I certify that I am a business representative or individual that engages in the retail sale of recreational scuba diving instruction and equipment (Retailer) and / or the sale of various recreational scuba diving and snorkeling tours, instruction and services (Resort), the manufacture or distribution of Scuba diving or snorkeling equipment (Manufacturer), or are an individual Scuba or snorkeling instructor (Individual).

My “Retail” business is located in an area zoned for business with a storefront accessible to the public. The store maintains established business hours and has a professional image consistent with or better than the norm in the marketplace.

OR

My “Resort” has established advertised and offers consistent operational hours and complies with the local laws and industry guidelines regarding business licensure and operation.

OR

I represent a “Manufacturer or Distributor” of Scuba diving and snorkeling equipment or a diving professional engaged in the business of diving.

OR

I am an “Individual” Scuba or snorkeling Instructor teaching in Hawaii and I comply with the local laws and industry guidelines regarding the teaching of Scuba and/or snorkeling.

HIRSA Member Contact Information

Please complete all of the information below. This information will be posted on the HIRSA web site at www.hawaiianscuba.com.  It may also be used in other advertising and promotional projects sponsored by HIRSA. Please print clearly as updates to the site will only be made on a scheduled basis. HIRSA is not responsible for illegible information.

I, the below signed, do hereby authorize HIRSA to use this information for internal use and for posting on all HIRSA publications pertaining to the promotion of the HIRSA organization and its members including but not limited to the HIRSA web site.

Business Name ________________________________________________________________________________

Business Address ______________________________________________________________________________

City _____________________________________ State _____________________

Zip _____________________

Phone ______________________________________

Fax _____________________________________________

E-mail _______________________________________________________________________________________

Web site _____________________________________________________________________________________

Signed (required) ______________________________________________________________________________

Title _________________________________ Date ___________________