TABLE ROCK DIVE CLUB
If you're one who enjoys diving in the Table Rock 
Lake area we'd like to invite you to join the Table 
Rock Diver's Club.  Yearly dues are $100.  

As a Dive Club member you will receive:

If you are interested in joining the Dive Club complete and 
submit the following form and mail with membership dues ($100) to:

State Park dive shop
ATTN:  Diver Dick Dalager
P.O. Box 6438
Branson, MO 65615

Address: _____________________________

City: _________________________________

State: _________________                         Zip: _____________

Phone Number: ________________________

E-MAIL: _______________________________

Certifying Agency: ______________________

Certification Number: ___________________

Membership Dues Enclosed ($50):         Y               N