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Get Bronze Star Test Sheet

Prov Phone: Date required: Date ordered: Payment: Cheque Money order Credit Card # Purchase order # Expiry date Email: VISA Debit Cardholder s name MasterCard AMEX Cardholder s signature Please attach this form to the completed test sheets and forward with your payment. Lifesaving Society exam fees are exempt from HST. EXAMINED PASSED FAILED AWARD Bronze Star * Bronze Star Recert * Bronze Medallion Bronze Medallion Recert Bronze Cross or Bronze Cross Recert Distinction Disti.

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