Georgia Rural Water Association Email Georgia Rural Water Association
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Georgia Rural Water Association Services for Our Community Training and Registration GRWA Conferences GRWA Bulletin Board
GEORGIA RURAL WATER ASSOCIATION ON-LINE REGISTRATION FORM
NOTE: If you are not going to pay on-line please use our Mail-in registration form. On-line registration forms are only to be used when payment is going to be made using our secure on-line payment service (PayPal.com). Registrants do not have to have their own PayPal account to make a credit card payment. Once you select the 'Submit' button below you will proceed with the payment process.Please complete a registration form for each person/s attending. A notification from our office will be sent to you within two business days to confirm your registration and seating in a training session. Please provide all registrants email addresses.
ON-LINE REGISTRATION FORM
NOTE: If not paying on-line please click here to access mail-in registration form.
 CONTACT NAME : 
 TITLE:
REPRESENTING:
 ADDRESS:
CITY:  STATE: 
   ZIP: 
PHONE:    FAX: 
  EMAIL: 
 CLASS/ES SELECTION
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NOTES:
  • This form is only for on-line payments. Once you have clicked on the 'Submit Form' button you will be taken to a web page which will introduce you to our secure payment process through PayPal.com. For other payment arrangements use the mail-in or fax-in registration form. Registrations will be confirmed once payment is received.
  • * Email Address:  It is important that we have the email address of the person/s attending so that we may    communicate directly on course details, if the need arises.
Georgia Rural Water Association
P.O. Box 383 • Barnesville, GA 30204
Telephone: (770) 358-0221 | Fax: (770) 358-4379
grwa1@grwa.org