ACCBO 120 Day Extension Request

120 Day Extension Request Form

Fee - $50
Please note - 120 days is the MAXIMUM amount of time your certification can be extended during a re-certification period.

If you are currently on a 30 day extension, and request a 120 day extension, you will only have 90 days added to your extension - However, the 120 day extension is permanent (meaning when you re-certify, you will receive 2 years from your extended expiration date / this is not the case with the free 30 day extension).
Please confirm that you have read the disclaimer written above *

Yes, I have read the disclaimer
Full Name *

First Name Last Name
E-mail *
Certification Number
Your certification number can be found on our online registry at www.accbo.com/registry
Home Phone Number *

Area Code Phone Number
Work Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reason for requesting extension

My Products

120 Day Extension $ 50.00

Total $ 0.00

Payment Method

120 Day Extension Request Form