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Please take a moment and pre-register for a BTLS course.  All seats are filled on a first-come, first-serve basis. 

Your internet submission will be dated with today's date, and will be forwarded to the appropriate course coordinator.  Payment must be received within 14 days of submission to keep your reservation.

Name *
E-mail Address *
Social Security # *
Address *
City *
State *
Postal Code *
Phone 1 *
Phone 2
Course Date (mm/dd/yy) *
Course Location *

* Fields marked with an asterisk are required fields

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