Future Factory Seminar Sign-ups - Zeagle Dive Systems

This is a sign-up form for a future Zeagle FACTORY Service Seminar. These Factory Seminars have proven so popular, that rather than just schedule them one or two times a year, we will schedule one every time there are eight or more people interested. Leave your information on this list and we will contact you as soon as there are enough people interested to schedule a new Factory Seminar. Seminars are not open to the general public. All attendees must be affiliated with an Authorized Zeagle Dealer.
1st Attendee's Name: *
2nd Attendee's Name
3rd Attendee's Name
4th Attendee's Name
Zeagle Account Number *
I understand that $30 USD per attendee will be charged to the Dealer Account Number *
Store Name *
Store Street Address *
Store City *
Store State or Prov. *
Store ZIP or Postal Code *
Store E-mail: *
NOTE: A Confirmation E-mail and future correspondence will be sent to the Zeagle Dealer E-mail address given above. PLEASE DOUBLE AND TRIPLE CHECK THAT THIS ADDRESS IS CORRECT.
Store Phone # including Area Code: *
Time Since last Zeagle Service Seminar
Primary Position of 1st Attendee
Prefered Month for Seminar
Today's Date:
Additional Comments: