Nebraska
Rural Water One Day Training Registration
To
pre-register for a training session complete the following
form. * indicates required information
*Name
*System
*Address
Your
Job title is:
*City
Operator
*State
Board Member
*Zip
Code
Sales Rep or Factory Rep
*Telephone
Backflow Tester or Plumber
E-mail
*Choose the training session to register
for.
Training
sessions fees, if required, are payable at the
sessions. If we need to contact you
for additional information or you have questions
please provide your comment/s in the area provided,
thank you.