First Name *required		Last Name *required
Address *required		City *required	State	Zip Code
Home Phone *required	Work Phone	Cell Phone:
email *Please include		Profession: *required
Healthcare Provider BLS (Initial Course) $45		Unit / Dept. :
Method of Payment:		Course Date *required
Check or money order made payable to HEA		Feb 16 (Tues) 5:30pm-9pm CHS building @ GVSU on Michigan St. - Room TBA Mar 16 (Tues) 5:30pm-9pm CHS building @ GVSU on Michigan St. - Room TBA April 23 (Fri) 8am-11:30am Ferris State University, Big Rapids Campus VFS 328 July 15 (Thurs) 8:30am-12noon Ferris State University, Big Rapids Campus VFS 326A Nov 29 (Mon) 8:30am-12noon Ferris State University, Big Rapids Campus VFS 325
Online Credit / Debit / Paypal

• There is a $5 cancellation/transfer policy. If you cancel or transfer to another class, you will be charged $5.

•"No Shows" will receive no refund.

Though our courses follow the American Heart Association Guidelines, other than costs of materials, the American Heart Association does not receive any compensation for these courses.