Daniel Pool Consultants, LLC

National Pool/ Spa Operator Certification and Registration Application Form Please print, complete and return this card to: Daniel Pool Consultants, LLC · 3309 Narnia Dr. · Apex, NC 27502 (Make checks payable to Daniel Pool Consultants, LLC)

Name: ________________________________________________________ Address:______________________________________________________ City, State, Zip: _________________________________________________ Company Name:  ________________________________________________ Home Phone:____________________Work Phone:_____________________ Fax:__________________________________________________________ **Email Address: _______________________________________________ Class Attending:________________________________________________       (Please include date and location.)

Registration Fees: Course Fee (CPO certification valid for 5 years)      (Cost includes book and certification) *$200.00 Refresher or recertification - CPO # required      (Book not included) *$130.00 *Your registration fee should be postmarked 10 days prior to your scheduled class to avoid an additional $15.00 late payment fee. **Your email address is extremely important as most of my communication will be done this way!!!! If you have any questions, please call Gary Daniel at 919-662-7664