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PO Box 965,
North Plains, OR 97133

503-278-2329

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All applications are manually reviewed by a human. Membership is free and invite-only. You can find a more complete list of expectations here.

Your Full Name

Your Email Address

Desired Username

Your Phone Number

Your Address

DAN member number

Certification Agency

Certification Country

Highest Level of Certification

Cert Number

Month, day, and year of birth

Date of last dive

Approximate number of cold water dives

Approx. number of cold water dives this year

Approximate number of warm water dives

Approx. number of warm water dives this year

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