BACKFLOW ASSEMBLY TESTER TRAINING REGISTRATION FORM

 

Backflow Assembly Tester Training          $700

Please provide the following attendee information:

Student Name
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                   Choose one of the following event options:


 

2011 BAT CLASSES

 

 January 10-14, 2011      (BAT 5 day class 8:00am - 5:00pm)

 

 February 14-18, 2011    (BAT 5 day class 8:00am - 5:00pm)

 

 March 21-25, 2011         (BAT 5 day class 8:00am - 5:00pm)

 

 April 18-22, 2011            (BAT 5 day class 8:00am - 5:00pm) CANCELLED

 

 May 16-20, 2011            (BAT 5 day class 8:00am - 5:00pm

 

 July 11-15, 2011              (BAT5 day class 8:00am - 5:00pm)

 

August 15-19, 2011           (BAT 5 day class 8:00am - 5:00pm

 

September 12-16, 2011     (BAT 5 day class 8:00am - 5:00pm) 

 

October 17-21, 2011         (BAT 5 day class 8:30am - 5:30pm

 

November 28- Dec. 2, 2011    (BAT 5 day class 8:30am - 5:30pm)

 


CCENV NOW REQUIRES A FORM OF PAYMENT BE DECLARED BEFORE WORK IS STARTED

          Please provide the following Payment information:

BILLING

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If you will be paying by check please click the check box and remit payment to:

Cross Connection Environmental

1802 S Carson Street Suite 108-2783

Carson City, Nevada 89701

 

Students will not be fully registered until payment is received.


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Credit card information is recorded to a secure server.   Information not transmitted over internet.


 

 


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Ken Ashlock.
Copyright © 1999 [Cross Connection Environmental]. All rights reserved.
Revised: July 21, 2011