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Event / Public Appearance Request
Please complete the form below. If you require additional information please contact public.relations@bc-ems.com.
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Email
*
Your email
Select the information you would like more information on:
*
Hands Only CPR
Stand By Event
Show and Tell
Public Appearance
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Other information
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First Name
*
Your answer
Last Name
*
Your answer
Contact Email
*
Your answer
Contact Phone
*
Your answer
Address
*
Your answer
Address of location/ event
*
Your answer
Dates of event
*
Your answer
Time of event
Your answer
Estimated number of people attending
Your answer
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