Name
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First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
-
Area Code
Phone Number
MANIA® Fitness Pro Conventions take place in 8 cities across the U.S. every year. Described as "THE DESTINATION FOR CECs IN FITNESS", attendees earn up to 24 CECs in a single weekend from over 200 sessions and 70 world-class presenters. Indicate which MANIA® location you would most likely attend (select all that apply):
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DC MANIA (January)
California MANIA (San Francisco, March)
Florida MANIA (Orlando, April-May)
Atlanta MANIA (July)
Dallas MANIA (August)
Philadelphia MANIA (September)
Midwest MANIA (Chicago, Sep-Oct)
Boston MANIA (Nov-Dec)
Check all the roles that apply to you:
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CEO
Owner
Healthy Living Director
Aqua Director
Manager
Instructor
Trainer
Presenter
Supplier/Vendor
Other
What is the Club/Facility name where you work?
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