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Registration Form

    *Required (please fill in)

    Your Name*

    Phone*

    Address*

    City*:

    State (eg.FL)*:

    Zip*:

    Email*

    Enter Course Name*:

    Course Date*:

    Course Location*

    Register for a class by U.S. Mail:

    • Print this page, fill out the information completely, and mail to:

      Adams Marine Seminars
      P.O. Box 99
      Crystal River, FL 34423-0099

    • Include $100.00* - check or money order made payable to "Adams Marine Seminars" (NOTE: $300.00 required for classes in Guam)
    • The registration fee will be deducted from the class tuition.

    *FCC and TOWING do not require a deposit

    Class size is limited by the Coast Guard. Don't delay, register today to guarantee your seat! We feel confident that you will be completely satisfied with our curriculum and the personal interest our students receive in the classroom.

    Please call with any questions or concerns.

    Toll free: 877-447-1950
    Fax: 352-447-4719
    E-mail: info@adamsmarine.com