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Biomed Technical Training Registration

Please fill out your contact information below.

Facility name:

Contact name:

e-mail:

Title:

Address:

City:

State or province:

Country:

Postal code:

Phone number:

Fax number:

Please check the course(s) you would like to attend, and fill out the relevant information. Chelmsford training to be held at ZOLL Medical Corporation, 269 Mill Road, Chelmsford, Mass.

M Series, M Series CCT, E Series

  Select course date:

Number of attendees:

Attendee names (please separate names with commas):

Course cost (per attendee):

$495.00

   

R Series, Propaq MD

Select course date:

Number of attendees:

Attendee names:

Course cost (per attendee):

$495.00

   

Payment information

 

Total cost:

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If purchase order, please provide P.O. #:

*If paying by credit card, someone will contact you to obtain this information.

 

If you have any questions, please e-mail techtraining@zoll.com