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Northwest Membrane Operator Association

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Title
Facility
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Day, Date | Time

Registrant
Salutation*
First Name*
Last Name*
Company*
Job Title*
Address*
City*
State*
Zip/Postal Code*
Country*
Phone*
Cell
Fax
Email*
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
- Halal Meals
- 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*
First Last
Email Address*
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 Workshop – West Jordan, UT... @ Jordan Valley Water Conservancy District - Education Center

NWMOA Workshop – West Jordan, UT... @ Jordan Valley Water Conservancy District - Education Center

Aug 25 all-day

RO Challenges in the Northwest Region 8:30 a.m. – 4:00 p.m. (Space limited to 40 attendees) 5 Contact Hours: UT Water (approved) To View Brochure – click on the brochure image at right. Online Registration Form

all-day NWMOA Workshop – Spokane, WA – A... @ Spokane County Water Resource Center

NWMOA Workshop – Spokane, WA – A... @ Spokane County Water Resource Center

Aug 30 all-day

Operator Focused Topics in Wastewater Membrane Applications 7:30 a.m. – 4:00 p.m. (Space limited to 40 attendees) 6 Contact Hours: WA Wastewater (approved) 5.75 Contact Hours: WA Water (pending approval) To View Brochure – click on the brochure ... Read More

all-day PNWS-AWWA/NWMOA Joint Workshop –... @ Seafarers Memorial Park Building

PNWS-AWWA/NWMOA Joint Workshop –... @ Seafarers Memorial Park Building

Sep 8 all-day

PNWS-AWWA/NWMOA Joint Workshop Reverse Osmosis More information coming soon.

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