DW/DS/WW Certification Training Registration

If you or your system personnel are looking for drinking water distribution (DS), drinking water treatment (DW), or wastewater treatment (WW) certification, you may find our course offerings in the form below. Scroll down to Place/Date/Course in the form to view upcoming certification courses. Courses are listed in chronological order of date with earliest at the top and latest at the bottom.

DW/DS/WW Certification Course Registration Form

Use the drop-down menu in the form to choose the class for which you want to register.

"*" indicates required fields

Name of Person Completing Form*

Please input your name whether you are the student or completing the form on someone else's behalf.

First Last

Phone Number*

Please enter the best phone number at which to reach you. This phone number will be used for notification if the course is postponed/cancelled, etc.

Email Address*

Please enter an email address at which you receive email notifications. This email address will be used for notification if the course is postponed/cancelled, etc.

Student Name(s)*

If completing the form for more than one student, please click the (+) at the end of the row.

System Name/Company Name*

Place | Date | Course #

From the dropdown menu, select the course for which you are registering.

Billing Address (System or Company)*

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

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mailing address differs from billing address*

YES

Street Address (Mailing)

Address Line 2 (Mailing)

City, State, Zip (Mailing)

MRWA Member System?*

If you are unsure of your system's membership status, contact the MRWA office.

YES - MRWA Member System

NO - Non-Member System

Pricing - MRWA Member System*

Select the combination that best fits your situation. (If selecting Voucher/Check, the total at the bottom of the form will show $0.00. Please bring your payment with you to the first day of class.

Pricing - Non-Member System*

Select the combination that best fits your situation. (If selecting Voucher/Check, the total at the bottom of the form will show $0.00. Please bring your payment with you to the first day of class.

Please bring vouchers or check payments with you the first day of class.

Total

Credit Card

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American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

71480

DW/DS/WW Certification Training Registration

DW/DS/WW Certification Course Registration Form

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