Fit Tester Application

Contact & work details
Street*
City/Suburb*
- Postcode*
- State*
Country*
Country
Mobile / Phone*
Your location*
Please select the region where your office/company is based.
Employer*
Position*
UPLOAD YOUR PROFILE PICTURE*
Drop files here or

Accepted file types: png, jpg, jpeg, Max. file size: 4 MB, Max. files: 1.
Upload a passport style profile picture of yourself as a PNG, JPEG or JPG format only (4MB maximum size).

Application Fees (assessor rate)
Fee Type*
Methodologies (you must select at least one)
- Quantitative (QNFT) – Ambient aerosol condensation nuclei-counting (CNC)
ATT
- Qualitative (QLFT) – Aerosol Taste Test (ATT)
CNP
- Quantitative (QNFT) – Controlled Negative Pressure (CNP)
- GST
  Price: $ 0.00
- TOTAL DUE
  $ 0.00
Payment details
- All prices listed are excluding GST.
- Please tick the payment method.
- A tax invoice/receipt will be sent by email. Please note that invoices cannot be in a company name, only an individual’s name.
- Payments made by credit and charge cards will incur an additional 2% merchant fee – Visa/Mastercard only (eWay cannot accept Amex).
Payment Preference*
- Credit Card
- Invoice (payment by EFT only)
Hidden
cc_date
Hidden
cc_paid
Credit Card Details*

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder name
Comments
This field is for validation purposes and should be left unchanged.

Individual Application for Fit Tester Accreditation
(for Assessors only)