Membership Form First Name *Middle InitialLast Name *SuffixStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Home PhoneCell PhoneEmail Address *SkillsArchaeologyComputersDivingDraftingMedical/EMTPhoto/VideoResearchUnderwater SearchWritingOther (specify)Other SkillsDues *Please select level of membership$100 Individual, Annual$75 Senior, Annual (65+)$75 Student, Annual (with current student ID)$50 MHC/ASV Member, AnnualTotal$SubmitPlease do not fill in this field.
