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Heartsaver CPR/AED Course Registration

  1. Course dates for 2016 will be posted soon.

  2. First time CPR student?*

  3. Are you taking this course as an individual or part of a corporate group? If in a group, please identify the group.

  4. Payment Method*

  5. There is a minimum requirement for the number of course attendees. If this minimum requirement is not met, the course will be canceled for that evening. If canceled, a refund will be issued and applied to the account/card issued within five (5) business days. Each attendee will be notified by phone two (2) days prior to the training with a reminder, and/or update to the status of the course. Credit card payment will be processed at the time it is submitted. Please note: If course registration is within two (2) days of the class, please contact the fire department directly for space availability at (630) 671-2841.

  6. Paying by check: hit Submit and Print; remit print out with $40 payment to Roselle Fire Station ATTN: CPR Course, 100 E. Maple Ave., Roselle, IL 60172. Paying by credit card: hit Submit and follow directions on the confirmation page to pay $40 by credit card. Convenience charges apply to online credit card payments.

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  8. This field is not part of the form submission.