138 West Bishop Street,  Bellefonte, PA 16823
800-653-PRWA, 814-353-9302, fax 814-353-9341, prwa@prwa.com 
Member of National Rural Water Association

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Click here for a printable / faxable registration. 
Conference Certification Exam Registration Soon Available!

 

ATTENDEE

 
First name:
Last name:
Company / System:
PA DEP Client ID required for contact hours:
PRWA Members check here here: 
Full Conference ($195 Member, $320 Non-member):
Single Day ($140 Member, $175 Non-member):
The Single Day You Plan To Attend:
I will attend the Tues Meet N Greet, no extra change 

SPOUSE

 
Full Conference (Spouse Registration $170):
Spouse Name:

BANQUET

 
Attendee Banquet, Thursday Evening, $45:
Spouse Banquet, Thursday Evening, $45:

TOTAL

 
Administrative Fee:

 

All registrations received after 2/15/2008 will be charged a $50 administration fee. Registration fees include all meals except the banquet.
TOTAL:

Pennsylvania Rural Water Association, 138 West Bishop Street, Bellefonte, PA 16823
800-653-PRWA, 814-353-9302, Fax 814-353-9341, www.prwa.com, prwa@prwa.com