Recertification Application

Home » Recertification Application

Certification Program *

Recertification Fees *

Recertification Fee w/ 3 year consecutive AAERT membership - $ 100.00

Recertification Fee w/o 3 year consecutive AAERT membership - $ 300.00

Total Amount

Your Registration Info

First Name *

Last Name *

Email Address *

Current Employer *

Are you attending conference for CEU credits?

Yes No

Reasonable Accommodations & Dietary Restrictions

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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