HOOT Training -3R/3NR – Glen

When:

April 11, 2024 @ 7:30 am – 3:30 pm

2024-04-11T07:30:00-05:00

2024-04-11T15:30:00-05:00

Where:

Corinth Water Treatment Building
2710 Hwy 72 E
Glen MS 38849

Cost:

Free

Please submit a separate form for each attendee.

Training Registration

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
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Total Cost

Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
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SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
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