PADEP Training Course – Initial Certification Initial Certification – PADEP -UMX/UMR/AMR $500 each. Groups of 3 or more receive a 15% discount. *If you must cancel your class after payment, a 3% cancellation fee will be deducted from the refund. Primary Company Contact InformationCompany/Individual Name* Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FAXPrimary Contact Email Address* Enter Email Confirm Email Attendee InformationAttendee Information Name Email Address Courses Needed Course Date Actions Edit Delete There are no Attendees. Add Attendee Maximum number of attendees reached. HiddenNumber of Attendees*PADEP Training Course - Certification* Price: $0.00 PADEP Training Course - Certification* Price: $0.00 Payment Information* - Only select the “Bill My Existing Keystone Account” payment option if you have an existing Keystone credit account. If you do not have an existing account, your registration may be delayed.I Would Like To Pay By*Pay OnlineBill My Existing Keystone AccountTotal: $0.00 Discount:Credit Card*Card Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged.