ASIST Registration Part 1: Your Information Suicide CPR: Learn the skills that save lives! APPLIED SUICIDE INTERVENTION SKILLS TRAINING $350.00 per person; $250.00 per student (with proof of Student ID) Enter Workshop Dates: 8:30 am to 4:30 pm both days Vancouver Island Crisis Society Training Centre, Nanaimo Your Name (as it is to appear on your ASIST certificate of completion) Title Organization Address City, Province, Postal Code Phone Email Address Post-Secondary School Student ID No. To qualify for student pricing, students must submit a scanned copy of their student ID card or other administrative document, which show current dates of study, attached to an email sent to info@vicrisis.ca. ASIST Registration Part 2: Payment Method As per our registration policies, payment must accompany this personal information form. 1. eTransfer payment via etransfer@vicrisis.ca (receipt provided by registrant's banking institution)2. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)3. PayPal Shopping Cart4. Cheque via post (not available within 14 business days of first date of workshop presentation) Would you like to subscribe to receive our email announcements? YesNoAlready Subscribed Additional Comments: I have read and understood the Course Registration Policies. Yes I understand that payment is REQUIRED to be registered. Yes Introduction Description Pricing and On-Site Opportunities ASIST Online Registration Form Course Registration Policies VICS PayPal Shop