Service Clinic Registration

SERVICE CLINIC REGISTRATION
Neptune System Service Clinic (RM:W308AB)

Refresher Course - Tuesday November 12th, 2019

Full Course - Wednesday, November 13th, 2019

Orange County Convention Center, Orlando, FL.

Thank you for registering! For questions, please call 1-800-922-1764
Registrant Information
First Name*
Last Name*
Email Address*
Dive Shop Name*
Phone Number*
T-shirt Size
Address Information
Street Address*
Street Address Line 2
City*
State*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Zip Code*
Please choose from the following:
My Products*
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Refresher Course$60.00

Required Tools (Picking up at Course)$170.00
Please note our Full Service Clinic Class is full. We apologize for any inconvenience.

Please email me at e.fontana@oceanreefgroup.com to be placed in a waiting list.

We do offer future service clinics at the following locations:

Kenosha, WI - November 22nd

Sign Up: https://form.jotform.com/92866043342963

San Diego, CA - November 27th

Sign Up:https://form.jotform.com/92875836186979
*Final registration confirmation will be provided via email. Any questions please contact us at 760-744-9430 or sales.markt.usa@oceanreefgroup.com. Clicking "sign up" below will redirect participants to paypal to purchase the course ($160) and tools.
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