You've Earned It!

For all of your hard work and dedication, we think you deserve respect, admiration....and some great perks.

When you enroll in AVIA's Select Fitness Professional Program you'll receive discounts of 30%-40% on performance footwear, apparel, and accessories from AVIA.

Apply Online! Join the AVIA Select Program
Use the following online application to apply for AVIA Select membership and start taking advantage of member perks today!

Please fill out the application completely

   
Instructor Name
Street Address
City
State
Zip
E-mail Address
Home Phone
   
Club Name
Street Address
City
State
Zip
Club Phone
Club Director
   
Footwear Size
Apparel Size
  
Tops
Bottoms
   
Profession
Years as a Professional
# of students per session
# of sessions per week
Certified through
Referred by
Did you receive a catalog or special offer? 
Enter the Source code here.
Source Code

By submitting this online application, I certify that the above information is truthful and accurate to the best of my knowledge. I also understand that a copy of certification, as well as a pay stub or letter from a supervisor showing proof of employment may be necessary in order to complete this application.


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