Safe Drinking Water Act Regulatory Update – Jan 26 & Feb 2, 2012

Page 1

Cell#

Work#

City

Mailing Address

Job Title

Name

Email

Home#

Fax#

Zip

Employer

Name Tag

NJAES Office of Continuing Professional Education Rutgers, The State University of New Jersey 102 Ryders Lane New Brunswick, NJ 08901-8519 Ph: 732.932.9271 Fax: 732.932.8726 Email: ocpe@njaes.rutgers.edu Web: www.cpe.rutgers.edu

[ ] $245 (multiple registrations)

Course code:EO0207CA12

PAID New Brunswick, NJ Permit No. 153

Billing Zip

We will never sell, rent or exchange your contact information with a 3rd party. To unsubscribe and be removed from our list, contact us at ocpe@njaes.rutgers.edu or by fax 732.932.1187 or phone 732.932.9271.

YES, I want to be informed about courses and related information through email fax periodic messages from Rutgers via: (check all that apply)

Exp. Date

Card #

Signature of Cardholder

 Mastercard  AMEX

Check, money order or Purchase Order Charge to my credit card Visa

Cardholder’s Name (printed)

 

Method of Payment

Additional Name(s):

[ ] $142.50 (NJ licensed water operator fee - T, W, or VSWS only)

[ ] Fee $285

Jan. 26 & Feb. 2, 2012

The Safe Drinking Water Act Regulatory Update

Nonprofit Organization US Postage

New Jersey Agricultural Experiment Station

January 26 and February 2, 2012

The Safe Drinking Water Act Regulatory Update

Office of Continuing Professional Education


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.