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Certified Phlebotomy Technician
Course Registration Form (non-refundable registration fee required)
First name
Date of Birth
High School Attended
Last name
Phone
Graduation/GED Year
Email
How Did You Hear About Us
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Street Address
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Choose Class Schedule
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Morning Mon/Wed (July)
Night Mon/Wed (July)
Morning Mon/Wed (September)
Night Mon/Wed (September)
Select Payment Option
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Deposit (payment plan) - $350
Full Tuition - $1750
Register
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