PPOA Membership Form
* FIRST NAME:
* LAST NAME:
* JOB TITLE:
* COMPANY / ORGANIZATION:
* ADDRESS:
* CITY:
* STATE/POSTAL CODE:
* COUNTRY:
* PHONE NUMBER:
* EMAIL ADDRESS:
* CERTIFICATIONS:
(For example:
AFO
,
CPO
, or
Both AFO and CPO)
* COURSE LOCATION:
* INSTRUCTOR:
* FIRST YEAR IN AQUATICS:
* SPECIALTY:
NOTEWORTHY ACHIEVEMENTS, COMMENTS?
Professional Pool Operators of America | PO Box 164 | Newcastle, CA 95658
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