Cross-Connections and Water Loss – Three Forks

When:

October 13, 2022 @ 8:15 am – 12:30 pm

2022-10-13T08:15:00-06:00

2022-10-13T12:30:00-06:00

Where:

Sacajawea Inn, Executive Room
5 N Main St
Three Forks
MT 59752

Cost:

$40/$60

Contact:

Julie Allen

406-438-2070

Register Below:

MRWS 4-Hour Workshop Registration

Workshop Date*

Please put the date of the workshop you are registering for.
System/Company Name*
PWSID #*

This is your systems number, usually begins with MT00...
Attendee Name*
First Last
Title*
Operator #*
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Workshop Fee*
Members: $40 per person Non-Members: $60 per person
How Many Attending?*
Workshop Fees are based on a per hour fee of $15 non-members and $10 members.
Donation

Donation to the MT Rural Water Education Fund
Select Your Payment Method*
- Pay Online
- Pay by Phone
- Pay by Check
Convenience Fee (3%)
Price: $0.00
Please note that a 3% convenience fee will be applied for credit card payments.
Total Payment Due
$0.00
To pay by check, submit this form and bring your check to the workshop or mail your payment to:

MRWS
525 Central Ave M6
Great Falls, MT 59401
To pay by phone, submit this form then call MRWS office at 406-454-1151 to pay by credit card over the phone.

Please note that a 3% convenience fee will be applied for credit card payments.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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