August 8 & 9, 2018 – Ville Platte – 8 Hours Each Day – Approval Pending

Name: August 8 & 9, 2018 – Ville Platte – 8 Hours Each Day – Approval Pending
Start: 2018-08-08T00:00:00-06:00
End: 2018-08-09T23:59:59-06:00

August 8 - August 9

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« 2018 Conference – Call for Presentations
August 27, 2018 – Winnfield – *4 Hour Management Training – Approval Pending »

Building and agendas pending for these days.

Last 4 of SS # *

Operator ID #

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Address Type *

Home
Business

(Please provide at least 1 of the requested phone #s. This will be used to notify you in the event something changes with this class such as date, location or cancellation.)

Work Phone #

Home Phone #

Cell Phone #

Email *

System/Company/Agency Name (if this field is not applicable, please indicate with "n/a" below.) *

Title (if this field is not applicable, please indicate with "n/a" below.) *

PWS ID #

I wish to register for: *

1st Day
2nd Day
Both Days

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Start:: August 8
End:: August 9

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« 2018 Conference – Call for Presentations
August 27, 2018 – Winnfield – *4 Hour Management Training – Approval Pending »

August 8 & 9, 2018 – Ville Platte – 8 Hours Each Day – Approval Pending

August 8 - August 9

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(Please provide at least 1 of the requested phone #s. This will be used to notify you in the event something changes with this class such as date, location or cancellation.)

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