This Seminar Covers:

\nBecome CPR/AED certified through this R ed Cross Seminar held in person at the CMCA Office.

Please Choose Which Seminar You Would Like to Attend (9am-Noon ):*

Company Name*

Number of Attendees*

**NOTE** Please enter the attendees names as you want them to appear on the completion certific ates.

Name of Attendee #1*

Name of Attendee #2*

< /div>

Name of Attende e #3*

Name of Attendee #4*

< label class='gfield_label gform-field-label' for='input_88_60'>Name of Attendee #5*

Name of Attendee #6 *

Email*

~~(used for sending a registration confirmation and receipt (if applicable))~~

Phone*

Registration Type*
(pricing i s per attendee and is subject to verification by CMCA Member Services)
\n
\n \n Registration - $175\n

Invoice#
(Admins Only)
\n \n

~~Admin Notes~~

Payment Method*
(ONLY members can pay by check)
\n
\n \n Credit Card\n
\n
\n \n Check\n

~~Submit this registration form\, and send your check to: \n\nColorado Mo tor Carriers Association\, \n4060 Elati St\, Denver CO 80216~~

Billing Address*

City*

State *

Zip Code*

Total
\n $0.00 \n \n

Credit Card< /span>
\n
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express\, Discover \, MasterCard\, Visa
\n \n Card Number\n \n \n \n \n \n < option value='2030' >20302032\n \n \n \n \n Expiration Date\n \n \n \n Security Code\n \n < span class='ginput_full gform-grid-col' id='input_88_46_5_container'>\n \n Cardholde r Name\n

Cancellation Policy:

\nRefunds\, less a $30 administrative fee\, will be given for cancellations made 5 bus iness days prior to the class date. No refunds for no-shows or late cancel lations. Substitute attendees may be sent.

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Training - CPR/AE D Certification Seminar

This Seminar Covers:

Cancellation Policy: