This form is only for club who have active memberships and ONLY wish to purchase certificates of insurance.
Click here if you also need to renew your club's membership.

Fields marked with asterisks (*) are mandatory.
  Club Information
Club Name:*
(This list includes only clubs with active memberships.
If your club does not appear and you think this is an error,
contact USA Water Ski at 800-533-2972.)
Shipping Information
First Name Last Name
Membership Number:
Mailing Address:*
Address 2:
Zip/Postal Code:*
Home Phone:* example: (000) 000-0000
Work Phone:    ext.
Fax Number: example: (000) 000-0000
Mobile Phone: example: (000) 000-0000
Email Address:*
You will have a chance to add certificate of insurance information on the next page.