EXAM RENEWAL REGISTRATION

Exam Prerequisites: Applicants may only take the Renewal Exam if they have taken a AIT online or seminar course.

YOUR INFORMATION

Name

Address

Date of Birth

Gym or Organization Name

Original AIT Certificate Date

Terms and Waiver

I have read and agree to the terms above.

Exam Renewal Registration

Coupon Code

Total

$52.25

Includes $3.25 of processing & fees

Registration Summary:	Total
Registrants (x1)	$49.00
Processing & Fees Fees include credit card processing fees and third-party software fees	$3.25

Total

$52.25

Includes processing & fees

Name

I am representing an organization

Credit Card

Address

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