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HOMESTUDIES ORDER FORM
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Aquatic & Fitness Professional Association - International
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Page Last Updated 12/13/2010 © 2002 Aquatic & Fitness Professional Association - International Website by Get a Life Productions, LLC |
547 WCR 18
Longmont, CO 80504
888 966 5939
Fax 800-878-6450
email: aquafitpro@aquacert.org
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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 coupon(s) or copy (-)________ of MEMBERSHIP card. (Homestudies only) Total _________ Make Check or Money order Payable to A-PAI 547 WCR 18 Longmont, CO 80504 Credit Card # _________________________________________Expiration Date__________________ Name as it appears on Card__________________________ Zip Code of Billing Statement____________ Signature ______________________________________________Circle One: MC Visa AmExp Discover |
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