Online Payment Form

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BLS Provider Manual Book: $20

The BLS Provider manual is required to take the class. Click the box to order. You do not need to order if you have the 2020 BLS Provider Manual. Please bring your copy to class.

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Date

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Time

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Personal Information

Fullname

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Address

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City

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State

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Day Phone

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Additional Information (optional)

How did you hear about us?

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TERMS and CONDITIONS:

Payment is required to be registered in a class.
You may cancel your registration and request for a refund MINUS the CHARGES with at least 48 hours' notice prior to the scheduled class.
If notice is sent less than 48 hours prior to the scheduled class, a refund will not be issued, but students may do a one-time rescheduling for a future class without a rescheduling fee. A $25.00 rescheduling fee will be applied for the succeeding rescheduling request.
You may reschedule within 30 days from registration. If not done within 30 days, your registration is forfeited, and a refund will not be given.
Students who arrive past 10 minutes from the start of the class will not be admitted but may reschedule with a $25.00 rescheduling fee.
Students who fail to attend the class without providing notice will not receive any refund nor rescheduling accommodation.
Please send us an email at info@kmslifesaver.com for any refund request or rescheduling request.
Please allow 24-48 hours to process course registration and for online course (key code) to be sent.
If requesting for a skill session other than scheduled dates posted, an additional fee will be applied.

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Only cash payment will be accepted at the office.

Card Number

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Name on Card

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Expiry Date

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Security Code

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