Backflow Assembly Training Services Ammon, Idaho Backflow Tester Certification Training Course                                                                                                                            
                                      COURSE IS LIMITED IN SIZE - FILLS QUICKLY

Date: December 5 - 9, 2022  Times 8:00AM - 5:00PM daily (Mountain Time)
Location: City of Ammon Water Shop - 3451 Ard Dr. Ammon, Idaho
Cost: $1000.00 if registered by SUPER discount date of September 30th, 2022
          $1200.00 if registering between October 1st 2022 - October 17th, 2022
          $1400.00 if registering after October 17th, 2022 (if spots still available)

                                  Additional EXAM FEE of $165.00 fee for
               BOTH written and performance exams to be given on the final day of course
 
REGISTRATION DEADLINE - November 4th, 2022  
       100% Refund if cancelled by Oct. 10th, 2022
                                   50% Refund if cancelled Oct 11th - Nov 4th, 2022
NO REFUNDS will be given after November 4th, 2022 -  (even if Covid related)
                                                         
Registration MUST be done online WITH this form. INVOICE will follow AFTER REGISTRATION is received and can be paid with mailed in check or online with checking account or credit card. Credit cards will have 4% processing fee added.
                                               You CANNOT mail in registration
Questions? email  leslie@batandsupply.com           call or text 208 221 6988
Sign in to Google to save your progress. Learn more
Email *
Untitled Title
Confirm email address - multiple email addresses accepted *
Student Name - Name on Gov issued ID (make sure this is correct) *
Student Mailing Address - INCLUDE City, State and Zip *
Phone Number(s) *
Employer information (optional) MUST have if they are being invoiced. Include Employer MAILING ADDRESS, STATE, ZIP contact name & phone # and EMAIL ADDRESS
Is employer making payment? If yes see question above. *
How do you plan on paying? *
Purchase order # if needed
Plumber number if credits wanted
Comments or questions
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy