Mandatory AHA Instructor Update

To reserve a space in the AHA Instructor Update, please complete this application and send your non-refundable tuition payment of $35.00 per person. 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 class.

Registration Requirements

  1. Completed registration form below.
  2. Payment for the course paid online.
  I am registering for the
 
 
* 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.
*Phone (day)
A value is required.
*Email
 A value is required.
*Credit Card:   MC    VISA    American Express    Discover
*Amount to be Paid   $  Tuition amount.
*Name on Credit Card   A value 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.
*Credit Card #   A value is required.
*Security Code A value is required. *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
All registration fees are non-refundable

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

*Signature of Applicant: A value is required.
(In typing my name here validates my application, all credit card payments and tuition responsibility.
  Email Confirm: A value is required.The values don't match.
*Date
 A value is required. *mm/dd/yyyyy

Register early
Seating is limited

AHA Instructor Update
Tuition: $ 35.00 per person
Class Dates
& Times:		 Check Back Soon
Location: When Seconds Count, Inc.
Training Center
97 Boston Street, Salem, MA


   
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