MMACA Recertification Online Application

Student Contact Information
MMACA Certification Number*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Daytime Phone*
Cell Phone
NESTA Approved CEU Course Information
Please enter approved CEU course information. Visit http://pft.nestacertified.com/nesta-personal-fitness-trainer-certification-continuing-education-approved-providers/ to view all approved NESTA providers. If the course title is not listed, please use the CEU Petition form located here: http://nestacert2.dev/?p=3049 to petition course(s) for approval.
Type of Course*
Please select one from the following:
Course Title*
Provider Name*
Course Date(s)*
MM slash DD slash YYYY
Number of CEUs*
Additional CEU Course Providers
Type of Course
Course Title
Provider Name
Course Date(s)
Number of CEUs
Upload File(s)
Please upload official proof of CEU completion (copy of certificate, letter of completion, etc). Allowable file extensions: pdf, jpg, png. We will accept no more than 5 files and a total maximum file size of 5MB.
Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 5.
Fees
Recertification Fee*
Price:
Late Fees
If you are submitting your application after your certificate has expired, the following late fees will apply.
- 1-30 Days $25
- 31-60 Days $50
- 61-90 Days $95
Total
$0.00
Amount is due in full prior to reviewing your application. Upon clicking on the application submission form, you will be redirected to our secure payment page. Please note your total fee, you will be required to enter it into the secure payment form.
Enter Your Full Name*
I hereby attest that the above application information and all materials included in submission are complete and accurate to the best of my knowledge.

Please use this form, if you have completed 2.0 or more CEU’s (20 hours) from our pre-approved providers such as NESTA, Spencer Institute, MMCA or ITCA, including approved providers listed here: Approved Providers

If you need to petition CEU’s from a provider not listed in our Approved Providers list, please use our CEU Petition form, prior to submitting your renewal.

Upon submission, you will be redirected to our secure payment page to complete the process. All major credit cards and PayPal payments are accepted. Payment in full must be received prior to reviewing your application. If payment is not made within the hour, your submission will be deleted.

If you are a member of IDEA, please contact us for your membership discount code.

40% OFF MOST CERTIFICATIONS & CEU COURSES! ENTER CODE: SAVE40

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MMACA Recertification Online Application

Student Contact Information

NESTA Approved CEU Course Information

Additional CEU Course Providers

Fees

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