Enrolment Form | Personal Trainer Course | AFA Asia Thailand

AFA Asia Online Enrolment

Step 1 of 3

This form is to enroll onto the following course:

Certificate in Personal Training

Before continuing your enrolment, please read and accept our Terms & Conditions.
Please tick this box to acknowledge that you have read our Terms & Conditions*
- Tick Here

Contact Details:
Please enter your contact details below.
Required fields are marked with an *
Title*
First Name*
Middle Name
Last Name*
Gender*
Date of Birth*
Date Format: DD slash MM slash YYYY
Email Address*
Alternative Email
Phone*
Mobile
Residential Address*
Street Address Suburb/Town ZIP / Postal Code
Postal Address*
Same as Residential Address

Street Address City ZIP / Postal Code

Please select one of the following payments options:
Payment Options*
- Full Payment - $1000 USD upfront
- Part Payment - $625 USD upfront, followed by $625 paid two months after commencement (totalling $1250 USD)
Total
$0.00
You'll be able to pay via our Stripe checkout on the next page.