Professional Instructors Registration Form

Are you an active SCUBA instructor? Register today to gain access to up-to-date info on Omega Aquatics products and special pricing.

Fill out the registration form below to begin the process. In order to complete registration, Omega Aquatics must receive proof of our Instructor status. You can send us a readable copy of your current instructor card (both sides) either by fax or by regular mail using the following contact information:

Omega Aquatics Inc.
225 Larkin Dr. Suite 7
Wheeling, IL 60090

*Required

*Name

*Instructor Number

*Agency Affiliation

*Street

Company Name

*City

*Zip

*State