| Welcome
to the International SCUBA Risk Purchasing Alliance application
portal. The applications below are in conjunction with
the coverages available directly through Witherspoon and
Associates. If you require property coverage please complete the relevant property insurance application on the Witherspoon & Associates website: scubains.com If you do not need
property coverage, please ignore.
An
Adobe version of the application will appear and can be completed and submitted online. They can also be printed
out and faxed. If you do not have
Adobe, please click on the link below to download.
Be sure to fill-out the application completely. If
any of the signatures are left blank, we will have to
contact you and ask that you complete. Less application
mistakes makes it easier for us to offer the high level
of customer service you expect. Thanks for your help!
For payment, we accept all major credit cards, checks
(both electronic and print), cashier’s checks,
and money orders. Financing is available for boats and
store customers only.
PLEASE NOTE: TO SUBMIT YOUR APPLICATION, please either - fill it in, print and fax it to us, or
- fill it in, save it and email it to us.
Adobe
Reader Download
Please be patient and allow upwards of one minute for the applications to load.
2010-2011 General Liability Application
2010-2011 Group Professional Liability Application
2010-2011 Individual Professional Liability Application
From Now Until 06/30/2010
2009-2010 Individual Professional Liability Application
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