INSTITUTE for CROSS-CONNECTION CONTROL
FS / AWWA ENDORSED

Backflow Prevention Assembly Repair and Maintenance
Training and Certification Course
2 day / 20 hour course is provided for anyone holding a CURRENT Backflow Assembly Tester Certification. This course provides the tester with hands on training in the repair and maintenance of backflow preventers from various manufacturers. You will be issued a Certificate of Completion after you pass a written and hands-on exam. You will then be certified in Backflow Repair. NOTE: If you are Backflow Assembly Tester Certification is from an organization other than Institute for Cross-Connection Control (ICCC), you must provide a copy of that certification upon registration. If you can not provide proof, your registration will not be processed.

Course
Dates
Times

Backflow Repair & Maintenance Certification
(must attend both days)

October 23, 2010
*October 24, 2010

8:00 am to 6:00 pm
8:00 am to 6:00 pm

* DRESS PROPERLY FOR WET LAB WORK

SPACE IS LIMITED
We can not accept enrollments without payment
CALL TODAY TO RESERVE YOUR SEAT 1-800-277-8877

Backflow Repair & Maintenance Certification
$435.00

Class Location : 6750 Pembroke Road, Hollywood, FL  33023

I am hereby enrolling in the following course

Backflow Repair and Maintenance Certification

Total $______________

PAYMENT MUST BE MADE 2 DAYS PRIOR TO CLASS
Enrollments at door (if space available) $20.00 additional

Reschedule Fee: $30.00 Certification
NO REFUNDS

Enroll by phone (954) 961-4560 or 1 (800) 277-8877 or Fax (954) 963-2872
with Visa MasterCard American Express

Credit Card Account #:________________________________Exp___________________

Class Date________________________________________________________________

Name____________________________________________________________________

Address__________________________________________________________________

City_______________________________State_______________Zip_________________

Phone_______________________________Fax_________________________________

Tester Certification # _______________________________________________________

Email___________________________________________________________________

Send checks to:
Institute for Cross Connection Control
6750 Pembroke Road, Hollywood, FL 33023

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