CPR REGISTRATION
UNIONTOWN FIRE DEPARTMENT
FIRST NAME *
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LAST NAME *
Your answer
ADDRESS *
ADDRESS, CITY, STATE, ZIP CODE
Your answer
PHONE NUMBER *
EXAMPLE 330-699-3239
Your answer
EMAIL ADDRESS *
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CLASS DATE *
SELECT CLASS DATE- ALL CLASS TIMES ARE 6:00 PM
METHOD OF PAYMENT *
ALL CLASSES ARE $50.00, PAYMENT IS EXPECTED PRIOR TO CLASS DATE
CONFIRMATION/COMMENTS
PAYPAL INVOICE WILL BE EMAILED WITHIN 3 DAYS...MAIL CHECKS TO: UNIONTOWN FIRE DEPARTMENT ATTN: CPR, 13055 OAKWOOD AVE NW, UNIONTOWN OH 44685...IF YOU HAVE ANY ADDITIONAL COMMENTS, PLEASE ENTER THEM BELOW.
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