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| EMS TRAINING CENTER OF SOUTHERN NEVADA | |
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| TRAINING CENTER ADDRESS: 3310 SUNRISE AVE. STE. #102, LAS VEGAS, NV 89101 |
| PHONE: (702)651-9111 FAX: (702)361-2000 E-MAIL: deb@emstrainingcenter.com |
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| BIRTHDATE: AGE: SEX: M F SOCIAL SECURITY# |
| CLASS START DATE: |
| INITIAL COURSES |
DURATION |
QUANTITY |
COST |
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| EMT-BASIC |
22 WEEKS |
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$950.00 |
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| EMT-INTERMEDIATE |
16 WEEKS |
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$850.00 |
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| FIRST RESPONDER |
40 HOURS |
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$400.00 |
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| ACLS |
16 HOURS |
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$175.00 |
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| PALS |
16 HOURS |
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$175.00 |
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| PHTLS |
16 HOURS |
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$175.00 |
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| AMLS |
16 HOURS |
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$175.00 |
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| AMLS INSTRUCTOR/PROVIDER |
20 HOURS |
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$300.00 |
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| CPR |
6 HOURS |
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$55.00 |
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| RECERTIFICATION CLASSES |
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| EMT-BASIC REFRESHER |
24 HOURS |
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$175.00 |
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| EMT-INTERMEDIATE REFRESHER |
36 HOURS |
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$240.00 |
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| EMT-PARAMEDIC REFRESHER |
48 HOURS |
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$240.00 |
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| ACLS RECERT. |
8 HOURS |
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$125.00 |
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| PALS RECERT. |
8 HOURS |
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$125.00 |
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| PHTLS RECERT. |
8 HOURS |
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$125.00 |
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| YEARLY SKILLS SIGN-OFF |
1 HOUR |
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$50.00 |
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| WEAPONS OF MASS DESTRUCTION |
4 HOURS |
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$75.00 |
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| MISCELLANEOUS |
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| BLOOD PRESSURE/STETHASCOPE SET |
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$40.00 |
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| TRAINING CENTER SHIRT |
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$30.00 |
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| NATIONAL REGISTRY |
| NATIONAL REGISTRY SKILLS TESTING |
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$200.00 |
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| NATIONAL REGISTRY PREPARATORY CLASS |
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$75.00 |
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| CREDIT CARD INFORMATION |
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SUB-TOTAL |
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| CARD TYPE: VISA MASTERCARD |
PAYMENT |
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| PAID BY: CHECK# CASH |
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