WASTEWATER CERTIFICATION TRAINING COURSES
Name ________________________________________ __________ Employer ________________________________________ _______ Position ________________________________________ _________ Business Address ________________________________________ _ City, State, Zip ________________________________________ ___ Business Phone ________________________________________ __ E-mail ________________________________________ __________ Home Address ________________________________________ ___ Class Attending: ____ November 27-30, 2018 Mechanical - Wahoo fees : Mechanical Course: Registration & required manuals (plus shipping & handling): ___ $ members ___ $ non-members Registration only: ___ $ members ___ $ non-members Lagoon Course: Registration & required manuals (plus shipping & handling): ___ $ members ___ $ non-members Registration only: ___ $ members ___ $ non-members TOTAL ENCLOSED: ____________ WASTEWATER CERTIFICATION TRAINING COURSES LOCATIONS: NeRWA Office Mid-Plains Community College 3390 Ponderosa (North Campus), Room 202 Wahoo, Nebraska 1101 Halligan Dr.
___ $200.00 – members ___ $311.60 – non-members FEES AND REGISTRATION Name _____ Employer _____ Position _____
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