American Heart Association
American Safety & Health Institute
Certified CPR/AED/FIRST AID Instructors

CPR Training Student Discounts

77 West Main Street
Smithtown, NY 11787
631-724-3537
Owner Operated

 

In order to register for a class, please do the following:
1) Fill out he form completely, do not leave any fields blank;
2) Submit the form
3) Make the required $10 deposti through one of the following methods:
-- PAYPAL - After the form is submitted, you can use your PAYPAL account or you can enter a
    credit/debit card as a guest
 -- Call the office to give credit/debit account information
 -- List a phone number in the comment section where we can reach you for payment information.
Name
Address
Email Address
Phone Home Cell
Select the Classes you would like to register for.
Reason for Taking Class

Date of Course

Time of Course
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Comments:
  All information is required.