WV BLS Protocol Review

Complete the information below to register for the BLS Protocol Review course.
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BLS - WV Protocol Refresher

BLS - WV Protocol Refresher
Duration: 1 day (4 hours)
Time: Varies by date (check calendar)
Location: CCEMS Headquarters - 846 8th Ave, Huntington, WV 25701
Cost: $35.00

COURSE

Course*

BLS - Protocol Refresher

BLS - Protocol Refresher Date:*

PERSONAL INFORMATION

First Name: *

Last Name: *

Address:*

City:*

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Zip:*

County:*

Email*

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WV Certification #*

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BILLING INFORMATION

Billing Party:*

Self Pay

Company

Company Name: *

Company Address: *

Company State:*

Company Zip:*

Company Contact:*

Company Email:*

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PAYMENT INFORMATIONPlease read carefully

Cabell County EMS offers multiple ways to pay for courses. Please select a payment method below.
**Courses must be made in full prior to course start. If payment is not made, you will not be able to attend the course.
**ALL payments made to Cabell County EMS are non-refundable.

Choose a Payment method:*

Cash

Check

Credit Card

Paying Cash:
You may pay cash at Cabell County EMS.

Paying with Check:
Cabell County EMS does accept Personal and Company checks. Make checks out to CCEMS Training Dept.*There will be a $25.00 charge for all returned checks.

Paying with Credit Card:
You may pay with credit card online or at CCEMS Headquarters.*By entering your credit card information, you are authorizing Cabell County EMS to process your credit card for the payment of the course.

Credit Card Type:

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Card Expiration Date: (mm/yy)

Card CSV Code: (located on back of card)*

Choose Payment Amount:

$35.00

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SIGNATURE

By electronic signing, you are registering for a CCEMS course.

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