Video Submission Services

For Individual Fit Tester Accreditation

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  rand
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  Today_Date
• Name*
  First Name Last Name
• Email Address*
  Enter Email Confirm Email
• Company Name*
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• Video Service Fees

• Service*
  Select -->Video Resubmission Fee ($100)Video Submission 3 Month Extension ($100)
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• Methodology (please choose)*
  Quantitative (QNFT) – Ambient aerosol condensation nuclei-counting (CNC)Qualitative (QLFT) – Aerosol Taste Test (ATT)Quantitative (QNFT) – Controlled Negative Pressure (CNP)
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• • GST
    Price: $ 0.00
• • TOTAL DUE
    $ 0.00
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• Payment details

• Payment Preference*
  • Credit Card
  • Invoice (payment by EFT only)
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  pay_date
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  status_cc
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• Credit Card Details*
  American Express

  MasterCard

  Visa

  Supported Credit Cards: American Express, MasterCard, Visa

  Card Number Expiration Month010203040506070809101112 Expiration Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date   Security Code Cardholder name
• Phone
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