Ships Scurvy Crew

WANT TO JOIN THE SCURVY CREW???

Just complete and send the form below.

CASH: Please DO NOT send cash in the post. Just print the form and bring it to the dive centre.

CHEQUE: Please print and post your membership form with a cheque payable to 'Davey Jones Locker'.

STANDING ORDER & BANK TRANSFER: Once you submit we will be in touch with our bank details.

GOLD BULLION: Please deposit this directly into the personal gold storage facility of the Pirate Lord (John Campbell AKA Captain Hoots).

Membership Type: *

First Name: *

Last Name: *

Home Number:

Mobile Number: *

Street Address: *

E-mail Address: *

Address Line 2:

City: *

County: *

Postal Code: *

Country: *

Payment Type *

Dive Agency: *

Dive Qualification: *

Number Of Dives:

What Is Your Pirate Name?

Comments / Questions:

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