Please complete the form below as accurately as possible and then click 'Continue'. Please allow the Paypal payment gateway to load and either sign into your Paypal account or click 'Pay with a Card' to complete the payment process. Legal Name* First Last Your legal name must match the USI Registry. Please enter exactly how you would like it to appear on your certificate.Date of Birth* Date Format: DD dash MM dash YYYY Phone*Email* Enter Email Confirm Email Ensure that you enter your own email address and not one that is shared with any other person. Your certificate will be sent to this address.USI Number (10 Characters):*We cannot issue you with a certificate unless you enter a valid USI number on this form. Please click the links below for assistance.Click here to Create your USI NumberClick here if you have Forgotten your USI NumberCourse*CPR CourseFirst Aid Course (includes CPR)CPR is due for renewal annually and First Aid is due for renewal every 3 years. All First Aid courses include CPR as a mandatory component. Please ensure that your First Aid is current, before enrolling in a CPR Course.Course Date*Saturday 15th October at 12pmClick here to read our Information for Course ParticipantsTerms & Conditions* I have read & understood the Information for Course ParticipantsConfirmationPayment*Pay onlineTotal $ 0.00 All payments are made through the PayPal payment gateway. You don't need a PayPal account, you can also pay by Visa, Mastercard or Amex.