Enroll in our Mental Health First Aid Training November 4, 2019 8am – 4:30pm Mental Health First Aid Training - November 2019 Attendee Information Please select number of attendees 1234 Organization Address City * State * Zip * Phone Attendee Name #1 Title Email Attendee Name #2 Title Email Attendee Name #3 Title Email Attendee Name #4 Title Email Discount Code (for participants that have been granted Financial Aid) Discount Amount (Please enter "1" or use the arrow up button. Discount code will reflect in the "Total Due" field) Total Due Billing Information Card Holder Company Email Address Address City State Zip Code Contact Phone Credit Card Payment Method Credit Card Submit