Video Submission Services

For Individual Fit Tester Accreditation

• Hidden
  rand
• Hidden
  Today_Date
• Name*
  First Name Last Name
• Email Address*
  Enter Email Confirm Email
• Company Name*
• 
  

• Video Service Fees

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

• Payment details

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

  MasterCard

  Visa

  Supported Credit Cards: American Express, MasterCard, Visa

  Card Number Expiration Month010203040506070809101112 Expiration Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date   Security Code Cardholder name
• Email
  This field is for validation purposes and should be left unchanged.