C&D Training Registration

Please select a date:
 April 13, 2010 in Fargo, ND April 22, 2010 in Minneapolis, MN June 8, 2010 in Milwaukee, WI

Yes, I would like to register for the above selected training. This box must be checked in order to send the form. Please complete the form below.

Name (required)

Title

Company / Organization Name

Address

City

State

Zip Code

Phone Number

Fax Number

Email

Website

Course Fee
 I have current member status with WasteCap or ABC, $325 I am not a member, $475

Payment
 Please invoice me Please call me for credit card information (enter phone number in box below) I will mail payment (please print this form to mail with payment to WasteCap Resource Solutions 131 West Seeboth Street, Suite 220, Milwaukee, WI 53204-4300) I will submit my payment online. Click Here to open a secure payment window. (Be sure to complete and send the form in this window as well as completing the payment window).

Please make note of additional guests and their email addresses and/or any meal requirements (vegetarian, for example):

Type the letters/numbers from the image

IMPORTANT NOTE: If you do not receive confirmation of your form submission within 3 business days, your form may not have been submitted properly. If this occurs, please contact WasteCap at wastecap@wastecapwi.org or 414-961-1100. Thank you.