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Backflow Re-Certification-July 12, 2019
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Email
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Your email
Participant First Name
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Participant Last Name
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Participant Email Address
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Participant Phone Number
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Participant Home Address
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Participant City
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Participant State
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Participant Zipcode
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Company Name
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Company Phone Number
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Person Responsible for Payment
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Person Responsible for Payment Email
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Person Responsible for Payment Phone Number
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Enrollment Fee:
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Non-Member - $230.00
Kansas PHCC Member - $160.00
Audit for 1 to 7 CEU MP Code Hours - PHCC Member-$20 per hour
Audit for 1 to 7 CEU MP Code Hours - PHCC Non-Member-$30 per hour
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