WWWATER Workshops--Small Systems-Early Bird

WWWATER Workshop Registration and Payment

Small Systems--Early Bird Rate
Workshop*
Beginning date of workshop*

MonthDayYear
Name:*

First NameLast Name
Position
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Employer*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number as 5551231234*
Area Code, Then Number
Payment Method
Purchase Order #
If paying from a PO, enter the # here. This is for your records only.
My Workshops*
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Water/Wastewater Workshop$75.00

Quantity
Other Attendees
First Name, Last Name (one per line)
If you haven't read the text in red on the workshops page, click on this link to read it. It will open in a new window, so that when you are done, you can close the browser window, and you will be back here.

http://www.wwwater.org/workshops.html
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When you click on SUBMIT, you will be taken to the PayPal website.

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WWWATER Workshop Registration and Payment