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CLASS REGISTRATION - Step 3 of 3

You are registering for the following class:

Class:	ASHI Adult CPR AED
Date:	Wednesday, Nov. 02, 2022
Time:	09:00 am- 12:00 pm

Senior Center:	NYC Dept for the Aging (Aging) [2 Lafayette]
Training Location:	2 Lafayette Room 624, New York, NY 10007
On-Site Contact:	Lenny James
Phone:	212-602-4439

Your Personal Information:

First Name: *

Last Name: *

Employee ID Number:

Cell Phone Number: *

Department:

Office Street Address:

Floor: *

City:

State:

Zip Code:

Email Address: *

Re-Type Email Address:

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Your Senior Center Information:

Enter your Senior Center's name or number and click Search: