Onsite Event Request

This form is designed to help you find one or more instructor(s) to teach a class/skill session at your location. Please be accurate with the data you supply...your data will impact their proposed fees. Upon submission your data will be sent to a list of instructors who in turn may or may not choose to respond. Sending multiple requests will place you on our epic spammer list so please wait for at least 48 hours before submitting the same request again.
Choose One(*)
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Not sure which CPR class? WHICH CPR CLASS TOOL

Other or Not Listed
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Have learners taken this class before?(*)
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Proposed Date & Start Time(*)
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Please note some instructors book 45-60 days out but it can't hurt to ask...they may have an opening sooner.

Number Attending(*)
Please use numbers only

Please be as accurate as possible as this impacts quoted price

Full Address(*)
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Location Name, Street, City, State, and Zip Code is Required

What AV Equipment Will You Provide(*)
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All AHA classes & skill sessions require the use of a DVD. What AV equipment will be functional and accessible to the instructor? (Check all that apply, not every instructor can bring their own). Press and hold Ctrl key while clicking to choose multiple)

Company
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Your Email Address(*)
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First Name(*)
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Last Name(*)
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Phone Number(*)
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Helpful Notes
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What might we need to know?

CAPTCHA Code(*)
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