NAVTECH U.S. SURVEYORS
1-800-245-4425
13430 McGregor Blvd.
Fort Myers, Florida 33919 AMERICAN BOAT YACHT AND COUNCIL NATIONAL ASSOCIATION OF MARINE EDUCATORS
NATIONAL SAFE LOADING CONSOLE BOATING WRITERS INTERNATIONAL MULTIPLE DISCOUNT ORDER FORM
( In a hurry? You may also order by phone)

PLEASE USE THIS FORM IF YOU ARE REGISTERING FOR MORE THAN ONE COURSE OR IF YOU ARE REGISTERING FOR US SURVEYORS ASSOCIATION MEMBERSHIP SIMULTANEOUSLY. ALL COURSES AND MEMBERSHIP MAY BE TAKEN STEP BY STEP OR SIMULTANEOUSLY. CERTIFICATE NUMBERS ARE ISSUED TO MEMBERS ONLY. A DIPLOMA ISSUED FOR ALL COURSES. UPS AND PRIORITY MAIL SHIPPING.

NAME____________________________BUSINESS NAME__________________________
ADDRESS_________________________________TELEPHONE_______________
CITY_______________________________STATE_________________ ZIP___________
FEED, EXPRESS MAIL AND ORDERS OUTSIDE OF UNITED STATES ADD 25 DOLLARS.
CHECKS CREDIT CARD:__MC__VISA__AMEX #__________________________EXP_____

___ NAVTECH MARINE SURVEYORS COURSE( RECREATIONAL/ SMALL COMMERCIAL) $395.
___ NAVTECH COMMERCIAL SURVEY GUIDE BOOTH( SPECIALIZED/ CARGO) $395.
___* $295, IF ORDERED WITH THING OTHER CERTIFICATION.
___** SAMPLE SUPPLEMENTAL AND SPECIALIZED SURVEYS AND FILLED IN FORMED
        ( MAY NOT BE ORDERED SEPARATELY. OR WITH ABOVE COURSES OR MEMBERSHIP ONLY) $195.
___US SURVEYORS ASSOCIATION MEMBERSHIP $300( FIRST YEARS DUES)
        USCG TITLE 46 FISHING VESSEL CERTIFICATION IS INCLUDED WITH MEMBERSHIP, ANNUAL DUES ARE $ 75 THEREAFTER.
___ ACCIDENT AND FRAUD INVESTIGATION EXPERT WITNESS GUIDELINES $195.
        * MEMBERSHIP IN U.S. SURVEYORS ASSOCIATION REQUIRED
___ UNDERSTANDING CORROSION $ 95.
___ SUPPLEMENT NVCS FOR THE MARINE SURVEYORS $ 95.
___ U.S. COAST GUARD CAPTAIN'S HOME STUDY( CORRESPONDENCE) $ 50.
___ TOWING ENDORSEMENT $ 50.
___ SAIL AUXILIARY $ 50.
___ U.S. CAPTAIN MEMBERSHIP $ 95.
___ U.S. CAPTAIN NEWSLETTER $ 50.

TOTAL PAYMENT ENCLOSED_______