Dive Operator Registration Business Info Section DIVE OPERATOR REGISTRATION BUSINESS DETAILS Name of Business * Street Address * City/Suburb * State/Territory * ACTNSWNTQLDSATASVICWA Postcode * Business Phone * Business Email * Confirm Business Email * Website/URL * Business Contact Section BUSINESS CONTACT DETAILS Contact Name * Contact Phone * Contact Email * Confirm Contact Email * Role in Business * Dive Sites Section Please select the Challenge Dives applicable to your business from your home state list below. State/Territory AUS NSW NT QLD SA TAS VIC WA Dive Site Please select marine animal interactions applicable to your business from the following list. Awesome Animal Dives Bottlenose Dolphins Dwarf Minke Whales Galapagos sharks Giant Cuttlefish Great White Sharks Grey Nurse Sharks Grey Reef Shark Cleaning Station Humpback Whales Leafy seadragons Leopard sharks Manta Rays Marine Turtles North Horn Shark Feed Potato cod Queensland groper Seals & Sea Lions Weedy seadragons Whale Sharks Is there a reliable marine animal interaction your business conducts that is not on our list? * Unlisted Animal Radio Buttons YES NO Name of Marine Animal(s) Do you have a favourite pub, cafe, restaurant or accommodation facility that you, your staff and/or customers frequent? ∗ Local businesses have been very supportive of past Challenges and have helped with AMCS donations. You receive one entry in the Challenge Donor Prize Draw for each successful new sign up. The prize could be worth up to $3,000! Fav biz radio buttons * YES NO Favorite business repeater Name of Business Business Owner, Manager or Contact Person plus1 Add a favorite business minus1 Remove a favorite business Biz options 1 - Incentive voucher Do you wish to lift your profile by donating an incentive voucher that will go to all entrants to help encourage them to visit your business? ∗ Incentive vouchers add significant value for entrants and encourage entrants to support your business. Your voucher will be advertised on the 2027 Challenge Entry page. You receive one entry in the Challenge Donor Prize Draw when your voucher is approved. The prize could be worth up to $3,000! Biz incentive radio buttons * YES NO We will follow up shortly Biz options 2- purchase bonus entry Do you wish to lift your profile by participating in the Challenge Dive Purchase Bonus Prize Draw Entries Program designed to encourage entrants to purchase training and equipment from your business? ∗ Bonus Prize Draw Entries add value by providing entrants with extra entries in relevant prize draws based on their spend with your business. Your business will be listed on the Dive Purchase Registration. Purchase bonus radio buttons * YES NO We will follow up shortly Biz options 3 - Prizes Do you wish to lift your profile by donating a prize or prizes? ∗ Prize winners don’t usually come alone and are likely to bring along a paying friend or two! Prize value should be at least $125 each. Your prize(s) will be listed in the 2027 Challenge Prize List. You receive two entries in the Challenge Donor Prize Draw for every $625 in prize value. The prize could be worth up to $3,000! Prize donation radio buttons * YES NO We will follow up shortly Biz options 4 - Dive Services Ad Do you wish to lift your profile with a LOCAL DIVE SERVICES advertisement on your chosen Challenge Dive sites? ∗ Local Dive Services advertisements lift your business profile on relevant Challenge Dive web pages. You receive at least one entry in the Challenge Donor Prize Draw for your Local Dive Services advertisement. The prize could be worth up to $3,000! You have three payment options: OPTION ONE - COMMISSION One-Off $20 commission per entrant for their first Challenge Dive with your business, invoice not issued until at least three entrants do a Challenge Dive with your business. OPTION TWO - ONE-OFF PAYMENT EITHER: One Challenge Dive $95, Two Challenge Dives $145, Three Challenge Dives $170 OR Four or more Challenge Dives $195. OPTION THREE - PRIZES Donate a prize or prizes with a total retail value of at least $625, prizes not required until January 2028. Dive Services Ad radio buttons * YES NO We will follow up shortly Biz options 5 - Slider Ad Do you wish to lift your profile with a slider advertisement which will appear on every Challenge Dive web page? ∗ Hyper-linked colour sliders cost $95 (normally $195). You receive one entry in the Challenge Donor Prize Draw for your slider advertisement. The prize could be worth up to $3,000! Slider Ad radio buttons * YES NO We will follow up shortly Biz options 6 - Challenge Sponsor Do you wish to lift your profile by becoming a 2027 Challenge Dive Industry Support Partner? ∗ Dive Industry Support Partnerships start at Tier Four, minimum $625 (cash or prizes). You receive two entries in the Challenge Donor Prize Draw for every $625 in prize value or one entry for every $195 in cash support when you become a Dive Industry Support Partner. The prize could be worth up to $3,000! You can request a refund of your $50 Participating Dive Operator Registration Donation. Sponsor radio buttons * YES NO We will follow up shortly Biz options 7 - Comments or Ideas Do you have any ideas or comments regarding Challenge dive sites and/or the Challenge itself? ∗ Your comments and suggestions will help make the Challenge better. Comments radio buttons * YES NO Comments Biz options 8 - Enter Challenge Do you wish to enter yourself or any of your staff in the 2027 Challenge? ∗ Entering the Challenge and promoting the Challenge to your customers will help make the Challenge a huge success! You and your staff will be entitled to the same benefits and prizes as other entrants. You receive one entry in the Challenge Donor Prize Draw for every 25 new Challenge Entrant referrals. The prize could be worth up to $3,000! Enter challenge radio buttons * YES NO We will follow up shortly Biz options 9 - AMCS Donation AUSTRALIAN MARINE CONSERVATION SOCIETY DONATION PAYMENT You will receive one free entry in the AMCS Donor Prize Draw for your $50 donation and another entry for every extra $50 donated. You could win a great prize in the Challenge Donor Prize Draw. Do you wish to make a further donation to the Australian Marine Conservation Society? ∗ AMCS extra donation radio buttons * YES NO AMCS extra donation * A 5% money transfer fee will be deducted from your donation before being passed on to AMCS. TOTAL DONATION (Minimum $50) Payment PROCESS PAYMENT If you are human, leave this field blank.
