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2004-2005 ENROLLMENT FORM
<br /> Please print legibly. Use one form per person,photocopy for other individuals. Enrollment is limited so register early/
<br /> PRE-LICENSING CONTINUING EDUCATION (CE)
<br /> $230 INTRODUCTION TO ONSITE SYSTEMS $175 DESIGN CE Deadline
<br /> with Onsite Sewage Treatment Manual Deadline 13251 St.Cloud Apr.25-26, 2005 4/11
<br /> 0101 Shakopee Nov. 15-17,2004 11/1 $250)LANDS-ON INSPECTIONS CE
<br /> L3102 Austin Dec. 13-15, 2004 11129 51 Waseca July 14-15,2005 6/30
<br /> 0103 Brainerd Jan.3-5, 2005 12/20
<br /> 0104 Eveleth Feb.7-9, 2005 1/24 $175 PUMPER CE
<br /> ❑105 St. Cloud Apr. 18-20,2005 4/4 ❑451 Hinckley Jan. 10-11,2005 12/28
<br /> ❑106 Fergus Falls May 31-62,2005 5/17 $125 SOILS CE
<br /> $125 INSTALLING ONSITE SYSTEMS ❑551 Chisago County May 25,2005 5111
<br /> ❑111 Shakopee Nov.18,2004 1111 ❑552 Rice County June 28,2005 6/14
<br /> ❑112 Austin Dec.16,2004 1129 ❑$200 GENERAL CE with Onsite Sewage Manual
<br /> ❑113 Brainerd Jan.6,2005 1220 ❑$175 GENERAL CE without Onsite Sewage Manual
<br /> ❑114 Eveleth Feb.10, 2005 124 ❑601 Austin Nov.22-23,2004 1118
<br /> ❑115 St.Cloud Apr.21,2005 414 ❑602 St. Cloud Dec.20-21,2004 1216
<br /> ❑116 Fergus Falls June 3,2005 5/17 ❑603 Detroit Lakes Mar.2-3,2005 2/16
<br /> $205 DESIGNING ONSITE SYSTEMS ❑604 Hinckley Apr.27-28,2005 4/13
<br /> 0201 Owatonna Jan.25-27,2005 1111 $375 TROUBLESHOOTING
<br /> ❑202 Bemidji May 2-4,2005 4/18 ❑651 Las Vegas, NV Jan. 19-20, 2005 1/5
<br /> ❑203 Alexandria June 6-8, 2005 5/23 $235 TECHNOLOGY DAYS
<br /> $175 INSPECTING ONSITE SYSTEMS ❑671 St. Cloud Mar.7-9,2005 221
<br /> ❑301 Mankato Mar_14-15,2005 228 $175 OPERATION&MAINTENANCE
<br /> ❑302 Bemidji May 5-6,2005 4/21 ❑701 Owatonna Feb.24-25,2005 2/10
<br /> $175 PUMPING ONSITE SYSTEMS ❑702 Brainerd June 15-16, 2005 611
<br /> ❑401 Owatonna Feb.2-3,2005 1/19 $235 LARGE SYSTEMS
<br /> 0402 Brainerd May 26-27,2005 5112 ❑801 Eveleth Apr. 13-15,2005 3/30
<br /> ❑$285 SOILS with Munsell Color Book $125 CONTRACTOR SAFETY I PIPELAYER CERTIFICATION
<br /> 0$175 SOILS without Munsell Color Book ❑901 Grand Rapids Jan.31,2005 1/14
<br /> ❑501 New Ulm Oct. 11-12,2004 927 0902 Owatonna Mar. 1,2005 2115
<br /> ❑502 Alexandria Nov.3-4 2004 10/20
<br /> ❑503 St. Cloud May 16-17,2005 5/2 ❑$25 OSTP MANUAL need an extra orupdated copy of the OSTP
<br /> ❑504 Fergus Falls June 20-21,2005 6/6 Manual?Add an OSTP Manual to any workshop for only$25.
<br /> ❑505 Cloquet June 23-24,2005 619 NOTE-An OSTP Manual is included with the'Introduction To Onske
<br /> Systems"workshop.A#other workshops use the same OSTP Manual
<br /> r,,IAIL ENROLLMENTS PAYMENT••PURCHASE •• • and a current manual is requited for ALL licensing workshops.
<br /> Onsite Sewage Program Please feel free to call us with any questions!
<br /> University of • 0
<br /> Avenue, 173 McNeal Hall
<br /> St. Paul. MN 55108 FLatefee cted workshops: $
<br /> FAX ENROLLMENTS •• per Workshop $
<br /> Fax en rol I men ts (credit card only)to: (6 12)6 • .• B©
<br /> VVEB ENROLLMENTS VVITH CREDIT CARD PAYMENT
<br /> UNT DUE: $
<br /> • • •
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<br /> E-MAtLADDRESS ���// , FAX
<br /> PAYMENT %:Check,Money Order or Institutional Purchase Order Payable to: UNIVERSITY OF MINNESOTA
<br /> OPTIONS ❑American Express ❑Discover ❑MasterCard ❑VISA
<br /> Cardholder Name Amount to be Charged: $
<br /> Number _ Exp. Date_ X
<br /> Cardholder Signature-Required
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