To join Aqua Chuck, fill out the form below along with your payment of $35.00 U.S.A..

Last Name:
First Name:
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Day Phone:
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 (If country other than USA)
Evening Phone:
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Credit Card Type:
   
Credit Card Number:
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Expiration Date:
 

 

 
Underwater Adventures with Aqua Chuck, the only official fan club, is not affiliated with any other fan club.