Training submittal form

You may submit your course information to DW&BP by using this form!

Please complete this course announcement to start its FREE publication in Drinking Water & Backflow Prevention. Your announcement will typically start with the following month's issue. (Example: If the form is completed by January 15, its publication will begin with the February issue.) It is necessary to complete this form for each course/class entry. We strongly recommend that the class announcement be submitted at least ninety (90) prior. (Note: if you are using America On-Line or CompuServe, you may get an error message after pressing submit. We will receive the request.)

To be considered for publication, a course date must be provided. DO NOT use 'monthly' or other generic schedule. DW&BP considers the training page a service to our readers. To add value, we believe that as much information as possible should be provided our readers to assist in their consideration of further education.

Contact information:
First name: Last Name:  
 
School / Organization / Training facility name:   Course Title - In box below, use abbrev EXAMPLES:
 
Date of course (Include days, such as DD-DD):   Course cost: Member/discount rate:  
  $ (USD) $ (USD)  
Registration deadline:   Materials/books used in class:
 
Instructor(s):   Any pre-requisite:
 
CEU's available:   Certification available with class:
    If not included with the course registration fee, the certification cost is: $ (USD)
School Address - (Location of training follows):
School address (street or post office box)    
 
Town or city: State or province:   ZIP or postal code:
 
Country:
If 'OTHER':
Course Address - If same as school, please leave SAME in address.
Course location (street address)
   
Town or city:   State or province:
 
Country:
If 'OTHER':
Telephone (AC ) + number:      
E-Mail address (like - name@site.com):
 
FAX phone (AC ) + number:
 
Internet URL for school/class:
http://www.
Select the general type of course offered:
Tester/Technician Certification Survey Inspection
Repair Program Development
Safety   Other:
The course may be described briefly here: (use abbreviations from title)

Would you like complimentary copies of for class distribution? Yes
If 'YES', please state quantity:

Send mail to backflow@dwbp-online.com with questions or comments about this web site.
Copyright © 1996-2005 The IAPMO Group, Ontario CA - Drinking Water & Backflow Prevention magazine, Northglenn, Colorado USA