Water CEU Training – 3R/13NR – Senatobia

When:

May 21, 2024 @ 7:30 am – May 23, 2024 @ 12:30 pm

2024-05-21T07:30:00-05:00

2024-05-23T12:30:00-05:00

Where:

Northwest Community College - Haraway Center
Hwy 51 North
Senatobia MS 38668

Cost:

$250.00 Member/$325.00 Non-Member

Training Registration - Paid

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Are you or the system you work for a member of MsRWA?*
- Yes - Cost $250.00
- No - Cost $325.00 (includes 1 year individual membership)
Total
$0.00
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.
Name
This field is for validation purposes and should be left unchanged.

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