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Student's Name*
Student's First Name Student's Last Name
Student's Email*
Student's Phone*
Student's Address
Street Address Address Line 2 City Province Postal Code
Is this course being paid for by the student?*
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Name of Person Paying
First Last
Email of person paying
Phone of person paying
Address of Person Paying
Street Address Address Line 2 City Province Postal Code
Select Course*
- Certificate Training ($1,195 plus applicable taxes)
- Stage 1 ($345 plus applicable taxes)
- Stage 2 ($525 plus applicable taxes)
- Stage 3 ($525 plus applicable taxes)
Taxes (5%):
$ 0.00 CAD
Total:
$ 0.00 CAD
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