Training Courses

OnLine Courses

Advanced Cardiac Life Support (ACLS)
Training & Recertification Program Application

To reserve a space in the ACLS Program, please complete this application and make tuition payment of $250.00 for Initial Course or $150.00 for renewal course. We  accept MC/VISA/AX/Discover.

If payment is to be made by your employer or other agency, we require a purchase order or letter from your employer confirming and authorizing such arrangement. We will need this confirmation at least one week prior to the start date of the first class.*

Registration Requirements

  1. Completed registration form below.
  2. Payment for the course paid online or mailed to When Seconds Count, Inc.
    PO Box 3002, Salem, MA 01970
  3. You must be 18 years of age to participate in this program.
  I am registering for ACLS
Initial Course Session 1:
Check back Soon for New Dates
Renewal Course-Session 2:
Check back Soon for New Dates
* Indicates Required Field
*Full Name
A value is required.
*DOB
 A value is required.
*Address
A value is required.
*City/Town
 A value is required.
*State
A value is required.
*Zip Code
 A value is required.Invalid format.
*Phone (day)
Required.
Phone (evening)
Phone (cell)
*Email
 A value is required.Invalid format.
*Credit Card:   MC    VISA    American Express    Discover
*Amount to be Paid   $  Enter tuition.
*Name on Credit Card   Name is required.
*Card Holders Billing Address
A value is required.
*City A value is required. State A value is required. Zip A value is required.Invalid format.
*Credit Card #   Required.
*Security Code # on back
. *Exp Date A value is required. mm/yyyy

I understand that the information provided to When Seconds Count, Inc. will be kept confidential and I hereby attest that the information supplied on this Course Application is complete and accurate.

Tuition Refund Policy
If for any reason you would need to cancel your registration, we require a minimum of a 7 day notice to receive a full refund otherwise you are responsible for and will be billed the course total.

I have read and understand the above registration form, its requirements, tuition and tuition refund policy.

*Signature of Applicant:
Your name is required.
(In typing my name here validates my application, all credit card payments, tuition responsibility and I am 18 years of age or older)
  Email Confirm: A value is required.The values don't match.
Date
 A value is required. mm/dd/yyyyy
How did you hear about the course?
Newspaper | Web Search | TV Ad | Friend | Co-Worker
State List | Former Student |

Register early
Seating is limited

ACLS Course Schedule
Tuition: Initial Course: $250.00

Renewal Course $150.00
Dates &
Time:		 ACLS Initial Course

Check back Soon for New Dates
ACLS Renewal Course

Check back Soon for New Dates
Location: When Seconds Count, Inc.
Training Center
97 Boston Street
Salem, MA
space space

 
 
  © 2009 When Seconds Count, Inc.  Site Design: Harley Freedman Visuals