JANUARY – DECEMBER Individual ($15) _______ Family ($20) ______
HALF YR (NEW ONLY) JULY – DECEMBER Individual ($7.50) _______ Family ($10) ______
Name: _________________________ are you a diver? Y N Birth Date: Month ______ Day ______
Partner: ________________________ is partner a diver? Y N Birth Date: Month ______ Day ______
Address: ________________________________________________________________
________________________________________________________________
________________________________________________________________
Telephone: Home: ________________________ Work: ________________________
E-mail Address: ________________________________________ Publish in BAD Directory: Yes ___ No___
I wish to receive the BAD newsletter at the e-mail address above ______
or by US Mail at the address listed above ______
Diving Experience / Location: ________________________________________________________________
Diving Interest: ___________________________________________________________________________
Other Hobbies, Interests: ___________________________________________________________________
Family Members to be included on Family Membership:
Name Month / Day Dive Classification
______________________________ _______________ ______________________________
______________________________ _______________ ______________________________
______________________________ _______________ ______________________________
______________________________ _______________ ______________________________
Bay Area Divers continued success depends on member participation! Please indicate areas you would be interested in:
____ Local Trips ____ Welcoming ____ Training/Safety
____ Speakers Bureau ____ Newsletter ____ Shell Collecting
____ Nominations ____ Spearfishing ____ Legislative
____ Name Tags ____ Photography ____ Other
Bay Area Divers, Inc P. O. Box 58404 Houston, TX 77258-8404
REVISED 02/25/2008