WasteCap Construction and Demolition Recycling Training Sign Up Form

Date: September 9, 2008

Time: Check in from 8 - 8:45 a.m., training from 9 - 4 p.m.

Location: Waukesha County Administration Building

Fee: $400 for WasteCap Wisconsin members and guests invited by Waukesha County, $550 for non-members. Click here for information on become a WasteCap member.

Cancellation Policy: The last day to cancel your registration for a refund is September 1, 2008.

Yes, I would like to register for WasteCap's Construction and Demolition Recycling Training Program hosted by Waukesha County on September 9, 2008

Name:

Title:

Company/Organization Name:

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Email:

Course fee:

		WasteCap Wisconsin Member, $400
		Invited Guest of Waukesha County, $400
		General registration, $550

Payment Method:
PLEASE NOTE: Payment must be received prior to the cancellation date in order to participate. Your name will be removed from the registration list if payment is not received by September 1.

		Please call me for credit card information
		I will mail payment to 2647 N. Stowell Ave. Milwaukee, WI 53211
		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 form).
		Please invoice me - only available to WasteCap Members and invited guests of Waukesha County

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