Maintenance Provider Practical Workshop - Registration Form

Maintenance Provider Practical Workshop

This two-day, in-person workshop will focus on the maintenance, inspection and repair of onsite wastewater systems. Under the supervision of the WCOWMA trainer students will spend 2 days in the field performing maintenance assessments on 5 systems (Type 1 and Type 2 gravity, Type 2 Pressure and, potentially, a Type 3 system) followed by recommendations for maintenance and repairs. This 2-day workshop will take place in the Chilliwack region of BC. Students will be able to use this training toward needed experience quotas, and/or professional development credits, if needed.
Student Name*

First NameLast Name
Company Name*
Indicate the name of your company or organization, otherwise simply enter your FIRST NAME and LAST NAME
Address (student)*

Street Address

Street Address Line 2

CityProvince

Postal Code
Province*
Email Address (student)*
example@example.com
Phone Number (student)*
Please enter a valid phone number.
This training session is in person. Please select the applicable date(s). *
**A typical day is from 8:30am to 4:30pm.
Registration Options

Non-Member Registration - $992.25

Select this option if you wish to register for the course only.
You will not receive membership benefits.

Member Registration - $793.80

Discounted course registration rate available to current members.
Membership will be verified at the time of registration.

Bundle: Membership + Course Registration

Best value for new participants who are not yet members.
Includes a full membership (1 Year with option to renew) plus course registration.

*NOTE*: If you select a bundled membership + course registration option, you will receive a separate email with a membership application form, and a separate payment requirement for the membership.
How would you like to pay?*

Credit CardE-Transfer
Select your Registration Option*

Course registration with 1-Yr Renewable Membership *New Members Only* $793.80 CAD incl. gst - Membership dues will be charged separately.Existing Member Course Registration *Existing Members Only* $793.80 CAD incl. gstNon-Member Course Registration $992.25 CAD incl. gst

My Products *

Course registration and 1-Yr Renewable Membership *New Members Only* Membership dues will be charged separately

$793.80CAD

Existing Member Course Registration *Existing Members Only*

$793.80CAD

Non-Member Course Registration

$992.25CAD

Total

$0.00CAD

Credit Card

Billing Email Address (Receipt will be sent to this address)*
example@example.com
Corporate Membership Name (Name of Membership Contact person)*

First NameLast Name
Phone Number for Membership Account*
Please enter a valid phone number.
Email for Membership Account*
example@example.com
Send your E-transfer to: accounting@wcowma-bc.com

Registration is not complete until fee payment is received. Please copy this email and make note of your fee amount to e-transfer after submitting this registration form.
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