Submitting the online form below
or Download Form & fax/mail/email:
Please submit a separate form for each attendee.
Training Registration
- Please submit a separate form for each attendee.
EVENT INFO
-
-
MM slash DD slash YYYY
- Total fees due for this attendee
ATTENDEE INFO
-
-
-
-
-
MM slash DD slash YYYY
SYSTEM INFO
-
-
-
-
-
- After submitting the form, you will be redirected to our payment page.
- This field is for validation purposes and should be left unchanged.
Training Registration
- Please submit a separate form for each attendee.
EVENT INFO
- MM slash DD slash YYYY
- Total fees due for this attendee
ATTENDEE INFO
-
- MM slash DD slash YYYY
SYSTEM INFO
-
- After submitting the form, you will be redirected to our payment page.
- This field is for validation purposes and should be left unchanged.
Please submit a separate form for each attendee.
Training Registration
- Please submit a separate form for each attendee.
EVENT INFO
- MM slash DD slash YYYY
- Total fees due for this attendee
ATTENDEE INFO
-
- MM slash DD slash YYYY
SYSTEM INFO
-
- After submitting the form, you will be redirected to our payment page.
- This field is for validation purposes and should be left unchanged.
You can pre-register by Submitting the online form below or faxing in the form.
Please submit a separate form for each attendee.
Training Registration
- Please submit a separate form for each attendee.
EVENT INFO
- MM slash DD slash YYYY
- Total fees due for this attendee
ATTENDEE INFO
-
- MM slash DD slash YYYY
SYSTEM INFO
-
- After submitting the form, you will be redirected to our payment page.
- This field is for validation purposes and should be left unchanged.
MsRWA Members: $250 / Non-Members: $325
Testing Fee: $106
MSDH Training Manual $45 (Includes S&H)
or download at www.msdh.ms.gov
Download the Information Packet & Registration Form
Or submit the form below:
If registering Online you MUST download the Exam Registration form below, fill out, sign and Upload/Fax/Email. This form is MANDATORY!
COMPUTER BASED EXAMINATION REGISTRATION FORM
Water Certification
- MM slash DD slash YYYY
-
- Select your membership type
- If you don't have your MsRWA Member #, call us at 601-857-2433.
- Select your membership type
- Copy this link to download the Testing Form. Then fill out and upload at button below. https://msrwa.org/wp-content/uploads/Water-Computer-Exam-Reg-1.pdf
- Registration will not be complete without: Downloading, filling out, and signing this form. Then you MUST fax to: 601-857-2433 / email: mswra@msrwa.org / Upload
- Max. file size: 64 MB.
- Would you like a manual Mailed or You can download a free manual at www.msdh.ms.gov ($45 includes S&H)
- $0.00
- This field is for validation purposes and should be left unchanged.
Click below for more details.
You can pre-register by Submitting the online form below or faxing in the form.
Please submit a separate form for each attendee.
Training Registration
- Please submit a separate form for each attendee.
EVENT INFO
- MM slash DD slash YYYY
- Total fees due for this attendee
ATTENDEE INFO
-
- MM slash DD slash YYYY
SYSTEM INFO
-
- After submitting the form, you will be redirected to our payment page.
- This field is for validation purposes and should be left unchanged.
MsRWA Members: $250 / Non-Members: $325
Testing Fee: $106
MSDH Training Manual $45 (Includes S&H)
or download at www.msdh.ms.gov
Download the Information Packet & Registration Form
Or submit the form below:
If registering Online you MUST download the Exam Registration form below, fill out, sign and Upload/Fax/Email. This form is MANDATORY!
COMPUTER BASED EXAMINATION REGISTRATION FORM
Water Certification
- MM slash DD slash YYYY
-
- Select your membership type
- If you don't have your MsRWA Member #, call us at 601-857-2433.
- Select your membership type
- Copy this link to download the Testing Form. Then fill out and upload at button below. https://msrwa.org/wp-content/uploads/Water-Computer-Exam-Reg-1.pdf
- Registration will not be complete without: Downloading, filling out, and signing this form. Then you MUST fax to: 601-857-2433 / email: mswra@msrwa.org / Upload
- Max. file size: 64 MB.
- Would you like a manual Mailed or You can download a free manual at www.msdh.ms.gov ($45 includes S&H)
- $0.00
- This field is for validation purposes and should be left unchanged.
MsRWA Members: $250 / Non-Members: $325
Testing Fee: $106
MSDH Training Manual $45 (Includes S&H)
or download at www.msdh.ms.gov
Download the Information Packet & Registration Form
Or submit the form below:
If registering Online you MUST download the Exam Registration form below, fill out, sign and Upload/Fax/Email. This form is MANDATORY!
COMPUTER BASED EXAMINATION REGISTRATION FORM
Water Certification
- MM slash DD slash YYYY
-
- Select your membership type
- If you don't have your MsRWA Member #, call us at 601-857-2433.
- Select your membership type
- Copy this link to download the Testing Form. Then fill out and upload at button below. https://msrwa.org/wp-content/uploads/Water-Computer-Exam-Reg-1.pdf
- Registration will not be complete without: Downloading, filling out, and signing this form. Then you MUST fax to: 601-857-2433 / email: mswra@msrwa.org / Upload
- Max. file size: 64 MB.
- Would you like a manual Mailed or You can download a free manual at www.msdh.ms.gov ($45 includes S&H)
- $0.00
- This field is for validation purposes and should be left unchanged.