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FIRST CHOOSE YOUR OPTION:

I want to apply for PFP Trainer of the Year.
Please fill out PART 1 and PART 3, below. (You automatically get a 10% discount coupon from Power Systems.)

I want to nominate a colleague.
Fill out PART 1 and PART 2, below. We will contact the nominee for additional information! (You automatically get a 10% discount coupon from Power Systems.)

I only want to receive a 10% discount coupon from Power Systems.
Please only fill out PART 1, below, only.



THEN COMPLETE THE REQUIRED PARTS:
When filling out the form, hit Tab to go to the next section. Hit Enter only when you are finished.

PART 1
Everyone must fill out this section.

Your First Name

Your Last Name

Your Address

Your City

Your State

Your ZIP Code

Your Email*

Your Phone Number

Your Company

Your Job Title


I would like to receive PFP digital magazine and e-newsletter.
I would like to receive the Power Systems catalog.


*To provide your discount coupon and to communicate about the award, we must have your email address.


PART 2
Only fill this out if you are nominating someone for the award. We will contact your nominee and ask for additional information.

Nominee's First Name

Nominee's Last Name

Nominee's Email

Nominee's Phone Number


PART 3
If you are applying for PFP Trainer of the Year, you must complete the following questions. We suggest you keep a copy of your essay question responses in a separate word file in case your submission does not go through.

What roles have you held? (staff trainer, manager, owner, etc.)

What are two goals you hope to achieve this year? And in five years?

List up to five things you have achieved as a fitness professional:

Describe your involvement in the community for the past five years:

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