Select the class you wish to attend: Lexington, NE Mar 9-23, 2012 - Certification Lexington, NE Mar 22, 2012 - Re-Certification Grand Island, NE April 2- 6, 2012 - Certification Grand Island, NE April 5, 2012 - Re-Certification N. Platte, NE Sept 24-28, 2012 - Certification N. Platte, NE Sept 27, 2012 - Re-Certification Waterloo, IA Oct 15-19, 2012 - Certification Waterloo, IA Oct 18, 2012 - Re-Certification Iowa City, IA Nov 5-9, 2012 - Certification Iowa City, IA Nov 8, 2012 - Re-Certification Sioux City, IA Nov 29, 2012 - Certification Sioux City, IA Nov 29, 2012 - 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.
Select the class you wish to attend: Lexington, NE Mar 9-23, 2012 - Certification Lexington, NE Mar 22, 2012 - Re-Certification Grand Island, NE April 2- 6, 2012 - Certification Grand Island, NE April 5, 2012 - Re-Certification N. Platte, NE Sept 24-28, 2012 - Certification N. Platte, NE Sept 27, 2012 - Re-Certification Waterloo, IA Oct 15-19, 2012 - Certification Waterloo, IA Oct 18, 2012 - Re-Certification Iowa City, IA Nov 5-9, 2012 - Certification Iowa City, IA Nov 8, 2012 - Re-Certification Sioux City, IA Nov 29, 2012 - Certification Sioux City, IA Nov 29, 2012 - 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