Please print out this form, complete and mail (with payment enclosed) to us at: 

American Red Cross, 322 Park Avenue, Stroudsburg, PA 18360

or Call 570-476-3800 to charge a course. We now take MasterCard and Visa!!
 

COURSE REGISTRATION FORM

I WOULD LIKE TO REGISTER FOR THE FOLLOWING COURSE(S) BEING OFFERED BY THE AMERICAN RED CROSS OF MONROE COUNTY: 

DATE OF COURSE NAME OF COURSE COURSE COST

 
   

 
   

 
   

 
NAME: ____________________________  PHONE #: _________________

ADDRESS: ____________________________________________________

 _____________________________________________________________

CHECK #: ________________                       TOTAL $: _______________

We now take Master Card and Visa!! Call 570-476-3800 to charge a course.

If there are others attending this class with you, please print (clearly) their names below:
__________________________________________________
__________________________________________________
__________________________________________________


REFUND POLICY:  The American Red Cross of Monroe County does not issue refunds for those people who do not attend class without advance notice.  They are offered the opportunity to reschedule 1 time within a 3 month period.  Failure to reschedule results in course payment being considered a donation. If Red Cross cancels a class and rescheduling is not possible, then a refund will be issued upon request.

Price Breaks:
  If you need several courses over a span of days, as long as you register for all of them at the same time, you are eligible for a price break: Any basic course priced as marked,  each additional basic course subtract  $10.00  

 Any questions, please call 570-476-3800 or e-mail: arcmonroepa@redcrossmonroepa.org

Copyright © 2001 American Red Cross of Monroe County

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