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Assist a Student Mariner

- Student Mariner Financial Assistance
  
  The AOS-USA relies on the help of those who share its concern for the well-being of all seafarers. Your contribution can make a significant difference in the lives of these High School and Maritime Academy Students.
  
  These assistance donations can be made in the following amounts: 50.00, 125.50, 100.00, 150.00, 250.00, 500.00
  TWIC Cards $125.50
  Merchant Marine Credentials
  Coast Guard Physicals
  Coast Guard Drug Test
- This form is not accepting responses at this time.
  
  Name of Student Mariner "optional" Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  TWIC Card125.25
  
  Select an amount for Donations towards the cost of Student Mariner Credentials such as Physicals and Drug Tests
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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