Refer a Friend

Refer a friend and receive a $25 Visa Gift Card.

*In order to receive the referral, the person you are referring must pay for and attend the first day of the Arizona EMT Refresher class and this form must be filled out within 5 five days of their registration (before or after). Cards will be mailed to the name and address provided below within 30 days.
If you have already referred someone, simply fill out the form below to receive your $25 Visa Gift Card: