Nationwide Aquatic Consulting, Inc.


Operator Course Registration

FALL 2014

Course outline and textbook are available for study prior to attending. No course materials can be sent out until full payment or purchase order has been received by NAC. You may submit this form via email by clicking on [Submit Registration] below. Or, if you prefer, you may print it out and FAX your reservation to (781) 581-3594 and then mail it, with payment, to NAC to ensure space in your class. Thank you!!!
Specify Course Date:   

Organization Name:
Address 1:
Address 2:
Daytime Phone:
Payment Info:
Cost per person: $295.00; Late $325.00 (7 days before class)
Choose a Card Type: Visa   Master Card   Amex 
Name on Card:
Card Number:
Expiration Date:
Purchase Order #:

If you are experiencing difficulty submitting
your registration form, please click [Here]

P.O. Box 695; Chestertown, NY 12817
(888) 833-5770
Fax: (781) 581-3594