Sewage Enforcement Officer (SEO) Precertification Academy Official Registration Form

Please fill out, print and mail this registration form and check to: PSATS, 4855 Woodland Drive, Enola, PA 17025
If you would like to pay by credit card, please call Kathy Kronicz at (717) 763-0930.
Please select:
Orientation Course $100
Precertification Academy Course $ 300 / $800
2010 SEO Academy – Enola, PA
September 28, 29, 30, / October 5, 6, 7
Cumberland County
PSATS Training Center
  

 
Note: Payment for the courses you have selected must be included with this registration form.
Name:
Position/Title:
Company / Organization:
Sponsoring Municipality:
Mailing Address:
City:
State: Zip: County:
Daytime Phone Number:   Fax Number:
Cell Phone:   Email Address:

REFUND POLICY
Orientation Course - $100 for sponsored / nonsponsored individuals
The fee is nonrefundable.

Precertification Academy Course - $ 300 for sponsored individuals / $800 for nonsponsored individuals
A full refund may be granted up to 60 days prior to the course. Substitutions will be accepted.

I understand the payment and refund policy. _______________________________________________________________________
 
Signature Date