ARSA November Seminar Sign-up
Attendee Name
*
First Name
Last Name
ARSA Member ID (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a phone number.
Email
*
example@example.com
Do you plan to attend all three days?
*
Yes
No
I would like to register for
*
a working spot
an audit
The seminar fee is $250. Payment may be sent via PayPal to AmerRettSportTreas@gmail.com.
Questions, concerns, or for more information please contact Annetta Cheek - annettalcheek@gmail.com
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