"Supporting LIFE through knowledge"

Participants may cancel 72 hours prior to commencement and expect an 80%

refund within 3 weeks. After 72 hours no refund will be given, but rescheduling may be a

consideration. (Rescheduling fee $25.00)

Once the course begins, or you have re-scheduled, no refunds will be given.

This program is offered by LIFE ED. Provider approved by the California Board of

Registered Nursing, Provider Number CEP11164. BRN does not provide C.E. for this course.

BLS Provider card will be issued upon completion of course.

No fees are received by the American Heart Association.

Clip and mail to: LIFE ED, 1128 S. Euclid Ave., San Gabriel, CA 91776

(626) 286-1169 - FAX (626) 286-1269

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Name:

Home Phone:

Home Address:

City:

State:

Zip:

Prof. License No.

Place of Employment:

MAKE CHECKS PAYABLE TO: LIFE ED

Most Major Credit Cards are Accepted - Register early since class size is limited.

REGISTRATION

PRESENTS

An American Heart Association Training Center

*Current A.H.A. BLS Healthcare Provider card required)

Classes must be completed within 30 days of the original scheduled class.

(PROVIDER/RETRAINER TRAINING COURSE)

THE AMERICAN HEART ASSOCIATION STANDARDS IN

BLS Provider Course Date:

Retraining Date:

 1128 Euclid Ave. * San Gabriel, CA 91776 * (626) 286-1169 * Fax (626) 286-1269

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