Class you wish to attend: Select One Grand Island, NE Sept 6-10, 2010 - Certification Grand Island, NE Sept 9, 2010 - Re-Certification Davenport, IA Sept 20-24, 2010 - Certification Davenport, IA Sept 24, 2010 - Re-Certification Lexington, NE Oct 11-15, 2010 - Certification Lexington, NE Oct 14, 2010 - Re-Certification Papillion, NE Oct 1-5, 2010 - Certification Papillion, NE Nov 4, 2010 - Re-Certification Davenport, IA Dec 6-10, 2010 - Certification Davenport, IA Dec 9, 2010 - Re-Certification * Name: Name: Name: Name: * For: Select one Backflow Certification Training Re-Certification (CEU) For: Select one Backflow Certification Training Re-Certification (CEU) For: Select one Backflow Certification Training Re-Certification (CEU) For: Select one Backflow Certification Training Re-Certification (CEU) * Company or Organization: * Address: * City: * State/Prov: * Country: * Zip/Post.code: * Phone: * E-mail: * Registration Fee Calculator Backflow Tester $575.00 / each 0 1 2 3 4 5 6 7 8 9 10 Re-Certification Training $135.00 / each 0 1 2 3 4 5 6 7 8 9 10 Please pay this amount: * Method of Payment: Select One Check Credit Card Money Order Credit Card information MUST be called in to 888-305-5292. NOTE: Other methods of payment must include check or Money order number Mail payments to: Total Backflow Resources P.O. Box 86 Salix, IA 51052 NOTE: Cancelations within 7 days of class start date will be refunded 50% of registration fee. Cancelations within 3 days of class start date will NOT be refunded. * denotes a field that must be completed BEFORE you click submit.
Class you wish to attend: Select One Grand Island, NE Sept 6-10, 2010 - Certification Grand Island, NE Sept 9, 2010 - Re-Certification Davenport, IA Sept 20-24, 2010 - Certification Davenport, IA Sept 24, 2010 - Re-Certification Lexington, NE Oct 11-15, 2010 - Certification Lexington, NE Oct 14, 2010 - Re-Certification Papillion, NE Oct 1-5, 2010 - Certification Papillion, NE Nov 4, 2010 - Re-Certification Davenport, IA Dec 6-10, 2010 - Certification Davenport, IA Dec 9, 2010 - Re-Certification
* Name:
Name:
* For: Select one Backflow Certification Training Re-Certification (CEU)
For: Select one Backflow Certification Training Re-Certification (CEU)
Backflow Tester $575.00 / each 0 1 2 3 4 5 6 7 8 9 10
* Method of Payment: Select One Check Credit Card Money Order
Credit Card information MUST be called in to 888-305-5292.
NOTE: Other methods of payment must include check or Money order number
Mail payments to: Total Backflow Resources P.O. Box 86 Salix, IA 51052