ATTAC Workshop Registration

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First Name:	Last Name:
Address:
City:	State: Zip Code:
Email Address:
Daytime Telephone:

Please check the workshop you want to attend:	Intro to Small Water Systems in Klawock August 31 - September 4, 2009

Do you want to take the certification exams?	Water Treatment Provisional Water Distribution Provisional No Exams
Comments:
Read below and then click "Submit Form." For Water Certification Exams: State application fee: $20 State exam fees: $30 EACH Bring payment with you. All fees should be made payable to the University of Alaska SE and must be paid to the examination proctor at the time of certification testing. There are NO exceptions. If you have questions contact ATTAC at (888) 750-3823. Mailing address: ATTAC, ATTN: Nicole Duclos, 1332 Seward Ave., Sitka AK 99835

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