TB Validation Course
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Employer
*
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please upload your completed TB online certificate
Cancel
of
Select Course
*
Please Select
August 30 2pm-4pm
Registration Fee
*
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Registration Fee
4% surcharge. Fee is NON-REFUNDABLE. Reserves your seat in the course. Course total $65.00
$
21.50
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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