Register for upcoming courses here!

Register for Upcoming Courses - just fill out the form below!

First Name*	Last Name*
Address *
*City State* Zip Code* -**
*Home Phone Work Phone ext**
Email Address* *( required entries)**
Course Title
Course Date
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Ever had this course before?
If so, when does/did your card expire?
Books Please indicate below if you will be requiring a textbook prior to the course date. The book will be ordered and you will be notified when it is available for pickup. Payment is due at the time of pickup. Books will also be available on the day of the course. Check the books you want us to order! (be sure you have included a phone number or email address above!) ACLS Provider Manual (ISBN 0-87493-327-7) $45.00
Handbook of Emergency Cardiovascular Care for Healthcare Providers (ISBN 0-87493-744-2) $24.00
PALS Provider Manual (ISBN 0-87493-322-6) $50.00
Please use the space below for any additional comments!