Class Payment
Please complete form
Name
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First Name
Last Name
Email
*
example@example.com
Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select class and number of students. A 3.5% processing fee is added.
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( X )
BLS
$70.00
$
70.00
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BLS - Stop the Bleed
$95.00
$
95.00
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Heartsaver
$70.00
$
70.00
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Heartsaver - First Aid- CPR- AED
$95.00
$
95.00
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Heartsaver - First aid -Stop the Bleed
$120.00
$
120.00
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First Aid
$50.00
$
50.00
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Stop the Bleed
$50.00
$
50.00
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Bloodborne Pathogens
$50.00
$
50.00
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Pay
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