CERTIFICATION FORM

CERTIFICATIONS RADICAL FITNESS AUSTRALIA 2016

REGISTRATION FORM

Radical Fitness Australia is offering all New and Exciting Instructors a great way to achieve your goals by becoming an Instructor and making your dreams a reality.

When registering for any of our Certifications, pay just 50% of the certification price and the remaining balance 30 days after the Certification date, interest FREE.
*A receipt will be issued when full payment has been received.

Radical Fitness programs are registered with Fitness Australia and 15 CEC points will be issued upon passing of the Certification.

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I WANT TO REGISTER IN THE CERTIFICATIONS FOR THE FOLLOWING PROGRAMS::

FIGHT DO POWER X55 KI MAX OXIGENO TOP RIDE U BOUND MEGADANZ RADKIDZ FACTOR F 

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I WOULD LIKE TO DO A REFRESHER FOR THE FOLLOWING PROGRAMS::

FIGHT DO POWER X55 KI MAX OXIGENO TOP RIDE U BOUND MEGADANZ RADKIDZ FACTOR F 

*Registrants must complete the whole Certification (whether 2 or 3 days) for the Refresher to be valid, which is FREE to all current Official Trainers.
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Radical Official Trainer  Fitness Instructor Radical Licensed Club Staff/Owner Other 

Radical-Licensed / Other Club(s):

Personal Details

First Name
Surname:
Street Address:
Suburb:
City:
State:
Postcode:
Home phone:
Mobile:
Email:

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PAYMENT OPTIONS - I wish to pay by:

1. CHEQUE //// - Please make cheques payable to: Radical Fitness Australia Send to: RADICAL STATION 497 Hutt Rd Lower Hutt 5010 NEW ZEALAND 

2. CREDIT CARD //// Payment: For secure credit card payments please phone: 1300 492 144 

3. BANK TRANSFER - DEPOSIT //// RADICAL FITNESS AUSTRALIA PTY LTD ANZ BANK BSB: 012 341 ACC #: 284 197 561 Particulars: RF Cert Ref: Your Name 

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A confirmation email will be sent to you notifying registration has been received. If however you do not receive this within 48hours please contact us at the number below.

Contact us:
PHONE: 1300 492 144