Water Operator Training – 5R/1NR – Madison

When:

May 14, 2025 @ 7:30 am – 3:30 pm

2025-05-14T07:30:00-05:00

2025-05-14T15:30:00-05:00

Where:

Capital Chlorinator & Utility Service
135 West Sowell Road
Madison MS 39046

Cost:

Free

You can register online or by faxing, mailing, or emailing the form below.

Training Registration

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Total Cost
Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
MM slash DD slash YYYY
SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
After submitting the form, you will be redirected to our payment page.
Email
This field is for validation purposes and should be left unchanged.

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