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MAIN: 770-485-6304 FAX: 224-365-0493 3535 Peachtree Rd, NE - Suite 520-417 - Atlanta, GA - 30326 EMAIL: Admin@NECI911.com
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Save time, tuition, and travel expenses by becoming certified for multiple courses during the same week. Multiple Course Discounts if taken during same course period. 1st Course - $495 | 2nd Course - $395 | 3rd Course - $295 SELECT(S) COURSE TO ATTEND
SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification SELECT COURSE Basic 9-1-1 Instructor Certification EMD Instructor Certification Fire Dispatcher Instructor Certification CTO Instructor Certification Human Trafficking Investigator Certification Enter the Course Location
PERSON REGISTERING STUDENT INFORMATION
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STUDENT INFORMATION
Enter name of student Enter phone number of student Enter email of student Agency Address 1 Address 2 City State Zip Code PAYMENT INFORMATION Government agencies can registration with a PO number. Individuals and private companies must use credit card. Purchase Order# Accounts Payable Phone# Accounts Payable Name CREDIT CARD INFORMATION Credit Card Type AMEX Master Card VISA Discover Credit Card Number Expires Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2012 2013 2014 2015 2016 2017 2018 2019 Name on Card Address 1 Address 2 City State Zip SPECIAL INSTRUCTIONS 1. Print this page before submission for printout 2. Your registration confirmation will appear after "Submit Payment Now" 3. You will receive an "order confirmation page" by emaiI If you do not receive a registration confirmation within 3 hours during normal work hours, please send an Email to Admin@NECI911.com