TRAINING QUOTATION REQUEST
Name
First Name
Last Name
E-mail
Phone Number
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Area Code
Phone Number
Training Required
F/Aid Level 1
F/Aid Level 2
F/Aid Level 3
F/Aid Level 1-3
Basic Fire
CPR
CPD WORKBOOK
BAA REFRESHER
AEA REFRESHER
HEALTH & SAFETY
Please select the course you want a quotation for
No of people attending training
Location of training
Life Med
Own Facility
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I/we hereby give Life Med Emergency Medical Service consent to process my/our personal information, in accordance with the provisions of the Protection of Personal Information Act, for all purposes related to the supply of Training Course information and any other promotional services that may be of interest to me/us.
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