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CERT Class Interest List
Our next CERT training class will be scheduled in October 2009, however, if we have enough interest we will schedule additional classes as needed. Once the schedule is finalized, we will contact individuals on the interest list for enrollment in the classes. Please fill out the following detail in order to be placed on the interest list.
 
1.
Please enter your contact information.
First Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
I am interested in volunteering with the Anaheim CERT program:
Yes
No
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