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ARWA Training Class Registration Form

Please submit a separate form for each ATTENDEE. Refresh this page to submit the form again.

"*" indicates required fields

Please be sure that the CLASS NAME and DATE are entered correctly below.

Class Name*

Date*

Hidden

Start Date (OLD)

MM slash DD slash YYYY

System/Employer Name*

Are you an ARWA Member?*

Yes

No

Attendee Name*

Email*

Phone*

Enter your ID#*

Your ID is the last 4 digits of your SSN and first 3 letters of your last name (e.g. 1234nhy)

Comments

This field is for validation purposes and should be left unchanged.

ARWA Headquarters

240 Dee Dee Lane
Lonoke, AR 72086-8156
Tel: (501) 676-2255
Fax: (501) 676-2266

Mailing Address
P.O. Box 860
Lonoke, AR 72086

Email: in**@ar**.net

ARWA is a proud member of National Rural Water Association – America’s Largest Utility Membership

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