Registration Form

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Submit order by e-mail (complete following), Fax (972-994-0911), Call (972-527-3687), or Mail (All registrations are mailed to: EMTS Registrations/Admin - 7000 Independence Pkwy, Suite 160-238 - Plano, TX 75025)

*Name Last First
Medical Skill Level  
Company/Facility
*E-Mail
*Phone
Fax

*Mailing Address for Study Material

Street   Apt #

City   State    Zip Code 

*Course Title
*Course Start Date
*Confirm Total Amount/Cost ($) of Training If registering for EMT-Basic or Paramedic course also indicate if you are paying 1/2 to reserve a seat or the entire amount at this time.
*Payment Options 
Credit Card Payment Credit Card Type

Card #

Expiration month/year
Note: Paying by credit card on-line reserves a seat in the course immediately.

Enter 3 digit V-code number on back of card:

 
Check# or MO# Enter Check # or MO # Complete this form on-line then press "Submit Registration" at bottom of page.  Then print the confirmation page.  Mail the confirmation page (or copy) with payment to: EMTS - 7000 Independence Pkwy, Suite 160-238 - Plano, TX 75025.  A seat will be reserved once registration receives this form via mail with payment attached.
PO # Enter PO # Complete this form on-line then press "Submit Registration" at bottom of page.  Then print the confirmation page.  Fax the Confirmation Page and PO form to: Registrations (972) 527-6073.  You will be contacted by fax or phone once processed. A seat will be reserved once processed by EMTS.

By submitting your registration you agree to the refund policy.