Class Registration « Montana Safety Services Council

Class Name*

CPR Cancellation Policy

Payment is due with registration. If you must cancel, you may reschedule for a class within the next 6 months and receive full credit for the amount paid. Fees are forfeit if class is not taken in the 6-month period. Substitutions are welcomed with prior notice. No refunds.

Company*

Are you an MSSC Member?*

Yes
No

Contact Name*

First Last

Email*

Phone*

Fax

Billing Address*

Street Address City State ZIP Code

Participants*

Participant Name*

Participant Email*

Are you registering additional participants?

Yes
No

Number of additional participants*

Please enter a value less than or equal to 11.

Calculations

2nd Participant Name*

2nd Participant Email*

3rd Participant Name*

3rd Participant Email*

4th Participant Name*

4th Participant Email*

5th Participant Name*

5th Participant Email*

6th Participant Name*

6th Participant Email*

7th Participant Name*

7th Participant Email*

8th Participant Name*

8th Participant Email*

9th Participant Name*

9th Participant Email*

10th Participant Name*

10th Participant Email*

11th Participant Name*

11th Participant Email*

Comments

Quantity

@ $95.00/each

Quantity

@ $120.00/each

Member - CPR/First Aid Registration Total

Price: $0.00

CPR/First Aid Registration Total

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Cancellation Policy:

If you must cancel, please do so at least 2 business days prior to the start of training. Any cancellations received with less than 2 business days’ notice, will be billed $50. Please call our office at 406.248.4893 or email reg@mssc.org to cancel. Substitutions are welcomed with prior notice.

CPR Cancellation Policy:

Payment is due with registration. If you must cancel, you may reschedule for a class within the next 6 months and receive full credit for the amount paid. Fees are forfeit if class is not taken in the 6-month period. Substitutions are welcomed with prior notice. No refunds.