Safe Aquatics, Certified Pool-Spa Operator Training Program After completing and submitting this form you
will be contacted regarding your payment options.

Contact Information
Contact Name
Position
Street Address
City, State, Zip
E-Mail
Home Phone
Fax Number:
(Required)
Cell Phone
Best Time to Reach You
   
Courses

What course(s) are you interested in?

2 Day Instructor Lead - Includes Manual
Primer, Online Course (Day 1 of Blended Course) - Includes materials
Fusion (Day 2 of Blended Course) - Includes Manual

 
Products

What product(s) are you interested in?

Swimmers: Courage and Triumph $24.95
Primer, Certified Pool-Spa Training Program $150
Pool Math Workbook $19.95
  CPO Handbook (English) $59.95
  CPO Handbook (Spanish) $59.95

 
Payment Method
Check made payable to Safe Aquatics (EIN 38-3231170)
Signed Purchase Order #
Send invoice to above address
  Visa or Mastercard
 
Account Number:
Experation Date:
Month / Year
Name on Card:
  Billing Address
of Cardholder:
Same As Above
Street Address
City, State, Zip

 

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