10 HOURS OF MoDNR RE-CERTIFICATION HOURS!

For printable form and full sessions agenda,  CLICK HERE.

THIS MEETING IS APPROVED FOR  MoDNR CREDIT HOURS

Tuesday Course #2204821
DW 4.0 hrs |  DS 4.0 hrs | WW 4.0 hrs

Wednesday Course #2204822
DW 6.0 hrs | DS 6.0 hrs | WW 6.0 hrs

REGISTER ONLINE WITH THE FORM BELOW

2022 Bootheel Expo Attendee Online Registration Form

"*" indicates required fields

Name*

Please enter name as you wish it to appear on nametag.

System Representing*

Contact Phone*

MoDNR Certification # (if applicable)

Email Address*

Please enter an email address at which you receive email notifications.

Enter Email Confirm Email

Billing Address (System or Company)*

If paying by credit card, address must match the address associated with the credit card.

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Mailing Address*

Same as Billing Address

Different from Billing Address

Street Address (Mailing)*

Address Line 2 (Mailing)

City (Mailing)*

State (Mailing)*

Zip Code (Mailing)*

Pricing Category*

Regulatory agencies receive the member rate. This DOES NOT apply to water/wastewater systems owned/operated by a governmental entity.

MRWA Member System | $150.00

Non-Member System | $250.00

MRWA Member Voucher/Check

Non-Member Voucher/Check

Please mail payment to:

Missouri Rural Water Association

901 Richardson Drive

Ashland, MO 65010

This event is BLUE VOUCHER ELIGIBLE. Green vouchers will not be accepted for the registration fee.

Total

CANCELLATION POLICY! Due to scheduling limitations and meal costs, the last day to cancel registrations is August 15, 2022. All uncancelled no-show registrations will be liable for the full member system rate of $150.00.

Credit Card

ATTENTION: TO AVOID THE POSSIBILITY OF DUPLICATE CHARGES, DO NOT REFRESH YOUR BROWSER AFTER HITTING THE SUBMIT REGISTRATION FORM BUTTON.

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Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date

Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041

  Security Code Cardholder Name

Phone

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