United States Water Fitness Association, Inc.

Name:		*required
Address 1:		*required
Address 2:		*required
City:		*required
State:		*required
Zip Code:		*required
E-mail:		*required
Phone:		*required

Program Fee (Please Check ONE): *required

Primary Course:		Masters Course:
Non-member's Price	$257	Non-member's Price	$297
Member's Price	$237	Member's Price	$277

For Orders out of the USA, Add $50 for the Program Fees.

How I Plan to Pay for the Course (select one): *required

Please note: Registration is not complete until payment is received and processed. Payment instructions appear on the next page, after clickling "Submit My Registration."

Credit card online (USWFA uses PayPal to process credit cards, but a PayPal account is not required.)
PayPal direct cash transfer (PayPal account holders only)

Note: Course materials are not sent until payment is received and processed.
Faxing my credit card information
Mailing my credit card information

Questions?

Mail, Fax, E-Mail or Call: United States Water Fitness Association, PO Box 243279, Boynton Beach, FL 33424-3279, Phone: 561-732-9908, Fax: 561-732-0950, E-Mail: Info@USWFA.org

Credit Card Orders Accepted By Telephone During Regular Business Hours, Online and/or By Fax Or E-Mail Seven Days a Week 24 Hours A Day