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ICU COURSE REQUEST FORM
By filling out this form you are only submitting a request for an ICU course. Once your request has been received, ICU personnel will contact you regarding the availability of your requested dates. Course requests should be submitted 4-6 months in advance.
ICU Course Request Form
Country
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Federation Name
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Contact Name *
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Contact email address *
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Contact phone # (including country code) *
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Proposed Course Location (Country, City, Venue)
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