To have you PALS course listed on the "Master List" please complete the following information and submit.  If you have any questions please contact David Maatman 616.482.6686.

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Course Date:                  (beginning & ending dates)

Course Type:                  (provider or recert)

Location (City)                (Include State if not Mi)

Course Sponsor(s):      

Sponsor Web Address:

Contact Person:             

Contact Person E-mail  

Contact Person Tx:        

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