Fill out the form below to register for Rural Water Training, if you have more than one person, go back to the form, reset it and fill it out for the additional person and send it again.

** Early Bird and Member Discounts May Apply **
Certification Trainings:
Training:	March 25-27, Brigham City: Op Cert Review (Water & WW) April 1-3, Orem: Op Cert Review (Water Only) April 8-10, Richfield: Op Cert Review (Water & WW)
Name:
System/Company:
Address:
City: State: Zip:
Phone: Email: Fax:
Please indicate which test(s) you plan to take:     Indicate Level Water: Distribution 1 2 3 4 Treatment 1 2 3 4 Small Systems (<500 pop) CEUs only     Indicate Level Wastewater: Collection 1 2 3 4 Treatment 1 2 3 4 Lagoons CEUs only
Payment Type:	Credit Card information may be sent to an unsecured site and may be visible to others.
Mailed Check Bill me at address above
Credit Card Number:
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Billing Zip:
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