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

Non-Member Fee		USWFA Member Fee (Save 20%)
Aquatic Director	$149	Aquatic Director	$119
Senior Aquatic Director	$179	Senior Aquatic Director	$143

For orders out of the USA: Add $50 to the program fee.

USWFA Members
You must include your membership expiration date to receive the 20% disccount.

Yes, I am a USWFA Member. My membership expires on: (MM/DD/YY)

If you are not a USWFA Member, find out how to join the USWFA!

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." There are no refunds after we receive your order. The above prices includes shipping by Priority Mail, handling and processing.

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