020 Fetal Heart Monitoring for Out-of-Hospital Midwives-Registration Form

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020 Fetal Heart Monitoring for Out-of-Hospital Midwives-Registration Form

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Your last name *

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Your first name *

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Your email address *

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Your phone number *

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Your street address *

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Your city *

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Your state *

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Your zip code *

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What form of payment will you be using? *

Venmo ($60 to @Suzanne-Smith-125, include your name in "What's it for" field)

Check ($60 mail to Suzanne Smith, 230 W 170 N, Orem, UT 84057)

Credit card (text 801-635-6819 to arrange)

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