FALL 2013 - NTL ALASKA, INC. COURSE REGISTRATION FORM

Name: Company:
Address: Phone:
City: Fax:
State: Zip: Email:
  I would like to receive my confirmation by: U.S. Mail, Fax Email
       
  Check this box if you would like to receive future course announcements by email only.
       
  Form of Payment:    
  Check (Print form and mail with payment) #________  
  Purchase Order #________  
 
  _________________________________________    


Registration is payable in advance. Payment will be refunded in full in the event NTL Alaska cancels a class. Refunds requested within two weeks of the course will be charged a 25% cancellation fee, except State of Alaska exam fees, which will be refunded in full. Classes may be canceled at any time. A confirmation letter will be sent to you outling the location and times of the class. If you do not receive this letter within 7 days of your registration please contact NTL Alaska to ensure the course is being offered and space is available. Companies or organizations with open accounts at NTL Alaska may use a purchase order to reserve class space.

Textbook is included in the course fee.
Please make sure to mark class button, location button and exam buttons to assure your complete registration

INTRODUCTION TO ALASKA SMALL WASTEWATER SYSTEMS $595.00

 

October 21-24, 2013 - Anchorage, Alaska (Provisional Level 1)
If signing up for exams, select one or two exams: Exam Date 10/25/13

 
  State of Alaska Application fee ($20) and one (1) exam ($30) $50.00  
  State of Alaska Application fee ($20) and two (2) exams ($60) $80.00  
  Wastewater Treatment Exam Provisional Level 1    
  Wastewater Collection Exam Provisional Level 1    


INTRODUCTION TO ALASKA SMALL WATER SYSTEMS $595.00

  November 11-14, 2013 - Fairbanks, Alaska (Provisional Level 1)
If signing up for exams, select one or two exams: Exam Date 11/15/13
 
  State of Alaska Application fee ($20) and one (1) exam ($30) $50.00
  State of Alaska Application fee ($20) and two (2) exams ($60) $80.00
  Water Treatment Exam Provisional Level 1  
  Water Distribution Exam Provisional Level 1  

I WOULD LIKE TO RECEIVE MY TEXT IN ADVANCE $10.00
Not available for ADEC sponsored classes

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