WASTEWATER CERTIFICATION TRAINING COURSES

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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: N

___ $200.00 – members ___ $311.60 – non-members FEES AND REGISTRATION Name _____ Employer _____