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Full Name*:
Phone*
School*
Training Date(s):
from*
to*
Training Time: a.m.
p.m.
All day
Number of Instructors*
The number of people that will be taking the class:
Please fill in the number of manikins, AEDs, masks, and valves needed for your training. If you do not need something, put the quantity as 0 (zero).
Manikins:
Sani - Man
Qty:
Sani - Child
Qty:
Sani - Baby
Qty:
Masks:
Adult
Qty:
Child (only 8 available)
Qty:
AEDs
Qty:
Valves
One valve per mask is needed
Qty:
FYI:
Lungs are in the crates with the manikins. FACE Shields are in the CPR accessories (clear shoe) box.
Comments:
Last updated: 10/14/2011 9:49:25 AM