winter conference sanitarian pre-registration...p.o. box 1170 powhatan, va 23139 winter registrant...

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PAYMENT INFORMATION Note: Payments to VWWA are not deductible as charitable contributions for federal income tax purposes. However, payments may be deductible as ordinary and necessary business expenses excluding $15 for company memberships and $5 for individual memberships which is allocated towards non-deductible VWWA lobbying activity (VWWA Well PAC). Q u e s t i o n s ? [email protected] Thank you! VWWA P.O. Box 1170 Powhatan, VA 23139 REGISTRANT INFORMATION COMPANY CONTACT PERSON OFFICE ( ) MAILING ADDRESS FAX ( ) TOWN/CITY STATE ZIP E-MAIL REGISTRATION I:BeyondBoundsLLC/VWWA/WINTERCONFERENCE2016/Registration_Form2016SANITARIANS.pdf | 2017 Pre - Registration Deadline - 1/23/2017 Total(s) QTY $ VALUE $ BADGES BADGE(S) REGISTRANT NAMES SANITARIANS - FREE HOTEL INFORMATION There are group rates available, please contact the hotel directly to arrange your stay. Pre-Registration can be mailed, faxed or e-mailed. Onsite registration opens at 7 AM. Classes run from 8AM - 5PM; lunch from 11:30 -1:30 PM. Education for Environmental Specialists The Virginia Water Well Association is providing continuing education for their licensed contractors and membership as well as environmental specialists. If you are an Environmental Specialist and are looking to better understand the logistics behind water well drilling and construction, come join us at the Winter Conference! In addition to all of the courses offered for the conference participants, there will be a Virginia Department of Health course given by Lance Gregory regarding well construction regulations, updates to various workgroups and responding to questions that may arise from the group. You are welcome to attend and join in on the coversations. WEDNESDAY VDH Course at 9:30 AM - 10:30 AM in Parlor C THURSDAY VDH Course at 9:00 AM - 10:00 AM in Parlor C Please visit the website for complete course schedule and descriptions. $130 FREE 1021 Koger Center Blvd Richmond, VA 23235 (804) 379-3800 www. DoubleTree3.hilton.com Rate Expires: 1/23/2017 $119 + tax Code: VWWA WINTER CONFERENCE Pre-Registration SANITARIAN February 15-17, 2017

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Page 1: WINTER CONFERENCE SANITARIAN Pre-Registration...P.O. Box 1170 Powhatan, VA 23139 WINTER REGISTRANT INFORMATION COMPANY CONTACT PERSON OFFICE ( ) MAILING ADDRESS FAX ( ) TOWN/CITY STATE

PAYMENT INFORMATION

Note: Payments to VWWA are not deductible as charitable contributions for federal income tax purposes. However, payments may be deductible as ordinary and necessary business expenses excluding $15 for company memberships and $5 for individual memberships which is allocated towards non-deductible VWWA lobbying activity (VWWA Well PAC).

Q u e s t i o n s ?

i n f o @ v a w a t e r w e l l a s s o c i a t i o n . o r g

Thank you!

VWWAP.O. Box 1170

Powhatan, VA 23139

REGISTRANT INFORMATION COMPANY

CONTACT PERSON OFFICE ( )

MAILING ADDRESS FAX ( )

TOWN/CITY STATE ZIP

E-MAIL

REGISTRATION

I:BeyondBoundsLLC/VWWA/WINTERCONFERENCE2016/Registration_Form2016SANITARIANS.pdf | 2017

Pre - Registration Deadline - 1/23/2017

Total(s)

QTY $ VALUE

$BADGES

BADGE(S) REGISTRANT NAMES

SANITARIANS - FREE

HOTEL INFORMATION

There are group rates available, please contact the hotel directly to arrange your stay.

Pre-Registration can be mailed, faxed or e-mailed. Onsite registration opens at 7 AM. Classes run from 8AM - 5PM; lunch from 11:30 -1:30 PM.

Education for Environmental Specialists

The Virginia Water Well Association is providing continuing education for their licensed contractors and membership as well as environmental specialists. If you are an Environmental Specialist and are looking to better understand the logistics behind water well drilling and construction, come join us at the Winter Conference!

In addition to all of the courses offered for the conference participants, there will be a Virginia Department of Health course given by Lance Gregory regarding well construction regulations, updates to various workgroups and responding to questions that may arise from the group. You are welcome to attend and join in on the coversations. WEDNESDAY VDH Course at 9:30 AM - 10:30 AM in Parlor C THURSDAY VDH Course at 9:00 AM - 10:00 AM in Parlor C

Please visit the website for complete course schedule and descriptions.

$130

FREE

1021 Koger Center BlvdRichmond, VA 23235(804) 379-3800

www. DoubleTree3.hilton.comRate Expires: 1/23/2017

$119 + tax Code: VWWA

WINTERCONFERENCE

Pre-RegistrationSANITARIAN

February 15-17, 2017