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* 1. What is your first and last name?

* 2. What is your mailing address?

* 3. What is your email?

* 4. What is your registration status during NLSC 2012?

5. What is your phone number?

* 6. During attendance, you will have the opportunity to obtain a certification card from the American Heart Association for a fee. Which type of training are you seeking?

7. Do you have any comments, questions or require more information prior to registering? If so, please leave a message and the SkillsUSA Alumni and Friends Association will contact your shortly.