Member (or Institutional) Name:
Nominated By:
Date:
Type of Membership:	Individual Member: $750.00 per year Allows one (1) voting membership and participation of one person in ProSEA activities. Corporate or Institutional Member: $1,500 per year Allows three (3) voting memberships and participation of three people in ProSEA activities. Associate Member: $175 per year For Companies and Individuals who provide services to ProSEA Members.
Make checks payable to: Professional Shipwreck Explorer's Association Inc.
Mail checks to:	ProSEA P.O. Box 320057 Tampa, FL 33679-2057 FAX: (813) 876-1777
(Please include resume, publications or other documentation relating to your shipwreck exploration activities, when you mail your payment)
Institutional Names (3) :
Address:
City:
State/Province:
Zip Code:
Country:
Phone:
FAX:
E-mail:
Website:
Past Shipwreck Expedition Involvement or Interests - please do not hit enter after each line