Partner Application

Applicant Information:

Partner Account Name

Address line 1

Address line 2

City

Country

Zip code

Phone number

Phone number 2

Website

First Name

Last name

Contact email

Type of business

If dive center:

Certifying agency

Number of certifications per year

Do you do trips abroad?

I, hereby declare that the information provided in this application is complete, accurate, and truthful to the best of my knowledge.

I understand that any false statements or deliberate omissions may disqualify my application from consideration for the DiveAssure EcoBuddies Environmental Initiative Grant. Furthermore, I agree to provide any additional information required by DiveAssure to support my application and to comply with all the terms and conditions of the grant if awarded.

I acknowledge that DiveAssure reserves the right to verify any information included in this application and that my project may be subject to additional review and approval processes. By signing this declaration, I consent to the use of my application details for the sole purpose of evaluation and administration of the program.