*To pay by check, please download our 2019 registration form and mail or fax it in. Tactical Medicine Module A & B REGISTRATION Fall 2019 Module A (October 7 – 11, 2019) | Module B (October 14 – October 18, 2019) Payment Method*PAYPAL / CREDIT / DEBITINVOICEACH TRANSFERFor faster registration, please choose "PAYPAL / CREDIT / DEBIT" above and complete the transaction through Paypal, your spot in the class will not be secured until we have received payment. CLICK HERE REQUEST AN INVOICE OR ACH TRANSFERFall 2019 Price: $0.00 Modules Module A (OCT 7 - 11) Module B (OCT 14 - 18) Rifle Ammunition (Colt M4)*I'll bring my own400 Rounds 5.56/.223 (+$320)Handgun Ammunition*I'll Bring My Own200 Rounds 9mm (+$80)200 Rounds .40 S&W (+$88)200 Rounds .45 ACP (+$100)Do you need to borrow any equipment? (no add'l charge) Glock 17 Colt M4 Body armor Tactical Uniform Tactical Footwear Personal IFAK with tourniquet Gloves Elbow Pads Stethoscope Knee Pads Hat Duty Belt Agency issued duty weapon (pistol) and holster Dual Magazine Pouch Body Armor Hydration System Flashlight with holster and extra batteries Personal Hearing and Eye protection Name* First Last Agency*Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cancellations prior to 30 days of the start date can be refunded minus a $400 cancellation fee. Tuition cannot be refunded after 30 days prior to the class, but the tuition can be applied to a later class.