TAUD Event Registration
Course Name:
Cross Connection Basic (Classroom)
Course Location:
PET Dairy Building, 1113 Konnarock Rd., Kingspor
Course Date:
10/29/2025
3
Full Name:
Registrant name is required
Utility/Company Name:
Company/Business name is required
Mailing Address:
Address is required
City:
City is required
State:
State is required
Zip Code:
Zip Code is required
Zip Code is not valid
Phone Number:
Phone Number is required
Phone number is not valid xxx-xxx-xxxx
E-mail Address:
Email Address is required
Email address is not valid
Membership:
Select Membership
Member
Non-Member
Please select membership
Amount Due
Payment Method
Select Payment Option
Pay by credit card
Pay Later
Please select payment option
I agree to Cancellation/No Show Policy
View Cancellation/No Show Policy
Please complete one form per registrant
Cancellation/No Show Policy
Payment is preferred in advance of the scheduled class date. If cancellation is necessary, only requests submitted in writing (e-mail, fax or letter) prior to the date of the scheduled class will be accepted.
Cancellation/No Show schedule is as follows:
15 + days prior- No Fees (excluding study materials provided)
5-14 days prior- Half Fee (plus any study materials provided)
Less than 5 days prior- Full fees - Another person may substitute.
If cancellation is not requested OR if the registrant is a NO SHOW, TAUD will invoice in accordance with the schedule and amounts above.