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CPO® Class
REGISTRATION FORM
(Certified Pool/Spa Operator®)
First Name:
Last Name:
Street Address:
Student Information:
State:
City:
Zip Code:
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Area Code & Phone Number:
Primary E-mail address:
Credit Card Information:
Years in the Aquatic Industry
Class Fees:
Please tell us how you found us and your industry experience.
How Did You Find Us?
Card Type
2-Day CPO® Class Cost: $200.00
(8:00 AM - 5:00 PM Both Days)
Class Fee
Credit Card Number
Expiration Date
3 Digit Security Code
Card holder's Name (as shown on credit card)
Card holder's Billing Phone Number:
Card holder's Street Address
Card holder's City, State and Zip Code
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Class Date
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Company Information:
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Company
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