HOMESTUDIES ORDER FORM
Aquatic & Fitness Professional Association - International

Page Last Updated 2/13/2016

© 2002 Aquatic & Fitness Professional Association - International

Website by Get a Life Productions, LLC

547 WCR 18
Longmont, CO 80504
303-678-9989
email: aquafitpro@aquacert.org
HOME RENEWALS CEC ARTICLES DISTANCE CERTIFICATIONS HOMESTUDIES
CALENDAR REFERENCE MATERIAL WORKSHOPS&HOSTING RECERTIFICATION- IF EXPIRED MORE THAN 2 YEARS
Aquatic & Fitness Professional Association - International Home Study Registration form:

PLEASE PRINT

Name____________________________________________________

Address__________________________________________________

City _______________________________State______Zip_________

Phone (h)( )_________________________________________

Phone (w)( )_________________________________________

Name (s) of Homestudies or Price

___________________________________ _________

___________________________________ _________

___________________________________ _________

___________________________________ _________

Members include discount voucher (-)________

Sub Total _________

Add $5.00 for Shipping in the continental US. _______Other wise call for shipping.

Make Check or Money order

Payable to A-PAI

547 WCR 18

Longmont, CO 80504

______Check here if you want to use a credit card and we will call you for the information when you e-mail or mail this form.