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"Supporting LIFE through knowledge"

PRESENTS

BASIC EKG REVIEW/ACLS PREP.

    $80.00 Registration fee includes materials.

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 $55.00)

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

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, for 6 contact hours.

Certificate 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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REGISTRATION - BASIC EKG REVIEW/ACLS PREP.

Name:

Home Phone:

Home Address:

City:

State:

Zip:

Prof. License No.

Place of Employment:

Please check one:

R.N.

M.D.

L.V.N.

PARAMEDIC

Other

Class date I would like to attend:

MAKE CHECKS PAYABLE TO: LIFE ED

Credit Card No.

Expires:

Check here if you would like to be contacted for payment options.

(Register early since class size is limited.)

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