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EMS 8 Hour Refresher Registration
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What is your name?
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What agency are you from?
Bill Address? (Skip if paying at door)
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Payment Method **Cancellation will be accepted up to 48 hours before the event. Cancellations after may be charged for the class**
Bill Me
Bill My Agency
I'll pay at the door *Registration is $25.00*
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Contact Email?
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Best number to reach you at?
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