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Northwest Membrane Operator Association

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Registrant
Salutation*
First Name*
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Fax
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Email Notifications*
- Yes, I authorize receiving publication email notifications
- No, I would not like to receive publication email notifications (opt-out)
Authorization for receiving publication email notifications from NWMOA. (applies to all email addresses on this form)
Website
Special Needs
- Food Allergies (describe in comments)
- Gluten Free Meals
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- Vegan Meals
- Vegetarian Meals
- Wheelchair Access
- Other (describe in Comments)
Member (check all that apply)
- NWMOA
- AMTA
NWMOA - Membrane Operator Training
Workshop Registration*
- Members/Affiliates (must be from the list above), $150.00
- Non-Members - Certified Ops (includes 1 year Div 1B NWMOA Membership), $200.00
- Non-Members - Non-Cert. Ops (includes 1 year Div 3A NWMOA Membership), $225.00
- Non-Members - Non-Cert. Ops (includes 1 year Div 3C NWMOA membership), $275.00
- TESTING, $0.10
For other types of membership - please contact NWMOA for membership application, or click here to apply for membership now.
Contact Hours for Water/Wastewater
- Contact Hours for Water/Wastewater, $25.00
- No Contact Hours Required
License #*
License State*
License Type*
License Grade*
Total Registration Fee
$0.00
Payment Information
Payment Method*
- Credit Card - Online Payment
- eCheck (Bank Wire w/o processing fee) - Online Payment
- Check
- Invoice
If paying by check: Make checks payable to: Northwest Membrane Operator Association (NWMOA) and mail to: 12592 West Explorer Dr., Ste. 200, Boise, ID 83713.
Comments
If you would like a copy of the invoice/receipt sent to another*
- Yes, send copy of invoice/receipt to:
- No, don't need a copy sent
If yes, you would like a copy of the invoice/receipt sent to another other than the attendee please enter information below.
Name*
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Comments or Instructions
before March 21, 2014 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after March 22, 2014 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. NWMOA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each enrollee if a program is cancelled. If a program is not held, NWMOA’s liability is limited to the refund of the program fee only.
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Upcoming Events

all-day NWMOA Membrane Operators Certifi... @ City of Grand Forks Public Works

NWMOA Membrane Operators Certifi... @ City of Grand Forks Public Works

Jun 26 – Jun 28 all-day

NWMOA Membrane Operators Certification MOC-III: Low Pressure Membrane Systems Space is limited to 40 Attendees 20 Contact Hours/PDHs MT – Pending Approval ND – Approved SD – Approved WY – Self Reporting To View Brochure ... Read More

all-day AMTA/NWMOA Jt. Technology Transf... @ Hotel RL Spokane at the Park

AMTA/NWMOA Jt. Technology Transf... @ Hotel RL Spokane at the Park

Jul 17 – Jul 19 all-day

AMTA/NWMOA Joint Technology Transfer Workshop Wastewater Treatment Challenges in the Pacific Northwest This AMTA/NWMOA Joint Technology Transfer Workshop will focus on membrane based wastewater treatment solutions in the Pacific Northwest. Attendees will learn about the ... Read More

all-day NWMOA Membrane Operators Certifi... @ City of Cottage Grove Community Center - Shepherd Room

NWMOA Membrane Operators Certifi... @ City of Cottage Grove Community Center - Shepherd Room

Sep 18 – Sep 20 all-day

NWMOA Membrane Operators Certification MOC-III: Low Pressure Membrane Systems Space is limited to 30 Attendees 20 Contact Hours/PDHs Please check back for more information and registration.

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