Jacksonville, FL

Course Instructor Name: Michele Alexander
INITIAL CERTIFICATIONS
Initial Certification Dates: (3 Days) September 18th thru 20th
Initial Certification Times: •September 18th & 19th: 8am to 5pm EST and
•September 20th: 8am to 12pm EST
RECERTIFICATONS
Recertification Dates: (1 Day) September 19th
Recertification Times: 8am to 5pm EST

09-18-2024 - Jacksonville

Hilton Garden Inn - Jacksonville Airport
13503 Ranch Road
Jacksonville, FL 32218
DIRECTIONS

PRIMARY ATTENDEE

Attendee Name*

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Email*

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This address must be accessible during the course for the online exam.

Phone*

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Company Name*

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Company Address*

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Course Type*

Initial ($695)

Recertification ($495)

ADDITIONAL ATTENDEE

REGISTRATION REVIEW

SELECT COURSE TYPE AND ATTENDEES

Credit Card Holder:

Name on Card*

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Email*

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Phone*

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Card Address Different Than Company Address

Credit Card Number*

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Exp. Month

Exp. Year

CVV Code*

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