Event Registration Form

Event Registration Form

Event Registration Form
Your Name (Company)*

First NameLast NameSuffix
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
My Services
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CPR & AED Certification
Minimum 5 students

$90.00 Quantity



Holiday Safety Presentation
Minimum 2 hrs.; $ 50.00 per person; Minimum 5 students

$50.00 Quantity



Active Shooter/Active Threat Presentation
Minimum 2 hrs.; $ 50.00 per person; Minimum 5 students

$50.00 Quantity



Safety Presentation
Minimum 2 hrs.; $ 50.00 per person; Minimum 5 students

$50.00 Quantity



Elderly Cyber Security Presentation
Minimum 2 hrs.; $ 50.00 per person; Minimum 5 students

$50.00 Quantity



Risk Assessment Consultation
Cost Varies,                 1st. Hr. $225.00

$225.00



Public Speaking Engagement
$500.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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