Idaho Backflow Tester Refresher Course Ammon, Idaho
Date: Monday - December 12, 2022  Times 8:00AM - 5:00PM
Location: City of Ammon Water Shop - 3451 Ard Dr. Ammon, Idaho
Cost: $300.00 if registered by SUPER discount date of October 31, 2022
          $350.00 if registering between November 1, 2022 - November 21, 2022
          $400.00 if registering after November 21, 2022 (if spots still available)

REGISTRATION DEADLINE - December 5, 2022  
NO REFUNDS will be given after November 21, 2022 - Even if Covid related
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Email *
Confirm email address *
Student Name *
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 will payment be made? *
Purchase Order if needed
"Idaho License Number" *
Plumber number if credits wanted
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