TREEO at the University of Florida

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Registration Request

Section 1400059599 - 171017

BK02 MAINT - Backflow Prevention Assembly Repair and Maintenance Training and Certification

June 14-16, 2017, ABC Metro , Beltsville MD

Details

Description	Base Cost	Qty	Cost
Course Fee	$550.00	1	$550.00

Total Cost: $550.00

Personal Information

Name	prefix first name middle last name suffix (e.g. Jr., PhD, MD, etc.) please enter your first name please enter your last name
Name Tag	first name last name
Company	please enter your company
Title	please enter your title
Address & Contact Information
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Address	Street Address Address line 2 Address line 3 City State / Province / Region Zip / Postal Code Country please enter the city for your address
Emergency Contact Information Please provide the name and phone number of the individual who should be contacted in case of an emergency.
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Background & Demographic Information
Gender	Male Female Not specified please select your gender
Birthdate	mm/dd/yyyy please enter your birthdate please enter your birthdate please enter a valid birthdate
Comments	Use this textbox to specify any concerns, general comments, or special needs (e.g. dietary, disability, etc.).
How did you hear about us?	please specify how you heard about us

Payment Information

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Electronic Fund Transfer (EFT)

Purchase Order:

Credit Card Payment

Note: Your credit card will not be billed at this time. The next step will ask for your credit card information on the InternetSecure website. Your card will only be charged once your registration has been processed. You may see a temporary charge of $1.11 on your credit card statement. This temporary charge is voided immediately and is used by the payment gateway simply to verify the credit card information.

Visa, MasterCard, American Express, Discover

Billing Address check if same as personal address

Note: if the billing address is for a company, enter the company name in the first address line and the street address in the following lines.

Street Address

Address line 2

Address line 3

City

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Refund & Cancellation Policy

If you are unable to attend a course, you may choose to substitute another person or receive a refund. Requests must be received in writing. Although fax or email is acceptable, mailed items must have arrived (not postmarked) at least 5 business days prior to the start date of the course or event. Refund requests can be sent by mail, e-mail or fax to the address or number indicated on this page.

If you have registered for an online course, you must not have accessed the course or completed any course work to be eligible for a refund. Fees for manuals, shipping and enrollment may be deducted from your refund.

We reserve the right to modify or cancel a course or event when circumstances warrant, including insufficient registrations. In the event of cancellation or postponement, each registrant will be notified by telephone and/or by written notification and will be issued a full refund. The University of Florida is not responsible for any other related expenses.

Note: Additional policies apply to this registration. By submitting this registration you acknowledge that you have read and agree to those policies and terms available at: https://treeo.ufl.edu/cancellation-policy/.

TREEO
3900 SW 63rd Blvd.
Gainesville FL 32608

tel: (352) 392-9570
fax: (352) 392-6910
train@treeo.ufl.edu
http://www.treeo.ufl.edu/

I have read and agree to the refund and cancellation policy above.

University of Florida

TREEO

Registration Process

Registration Request

Personal Information

Address & Contact Information

Emergency Contact Information Please provide the name and phone number of the individual who should be contacted in case of an emergency.

Background & Demographic Information

Payment Information

Payment Method

Credit Card Payment

Billing Address check if same as personal address

Refund & Cancellation Policy

Emergency Contact Information
Please provide the name and phone number of the individual who should be contacted in case of an emergency.