FOWA - Webinar Registration

Webinar Registration

You may fill out the information below to register for FOWA Live Webinars. These are live online classes. You must be present from start to finish to receive credit.
**please note that the class charge is per person ($60 for members / $100 for non-members)

First Name:*

Last Name:*

Company or County Health Department:

Email Address:*

Address:*

City:*

State:*

Zip Code:*

Phone:*

YOUR Professional License Number (i.e. SR or CFC)

I am currently a: (check all that apply)

Registered Septic Contractor

Master Septic Contractor

DOH Employee

Certified Plumbing Contractor (CFC)

Registered Plumber

Certified Env Health Professional (CEHP)

Florida Professional Engineer (PE)

Employee of Florida PE

Not Licensed/Certified

Other

If "Other" selected above please describe:

I am registering for these classes for the purpose of:

I am a CURRENT FOWA member:

NOTICE: Webinars are for 2 CEU hours. You must be seen & heard to receive credit for attending. More than one person can attend using the same device. All faces must be seen!

Webinars I will be attending:

NO Webinars Coming Up

How many people will be attending on one device (i.e. just yourself or 3 employees)*

*please note that the class charge is per person ($60 for members / $100 for non-members)

Please list all persons attending:

Comments/Questions:

Payment Method:

Do not enter anything in this field:

* indicates a required field

Please fill this field.

Florida Onsite Wastewater Association, Inc.
P.O. Box 665
Winter Haven, FL 33882

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