The 18th Annual Training Workshop
Registration Form
Thursday, April 2, 2009
At the St. Martin Community Center - 15008 Lemoyne Blvd, Biloxi, MS
**Please print & complete this registration form and fax it to us at 228-392-0553**
Call Trisha with any questions concerning registration @ 228-392-2085
Persons Attending _______________________________ Water / WW / Both
_________________________________ Water / WW / Both
_________________________________ Water / WW / Both
_________________________________ Water / WW / Both
Water System / Organization ________________________________
Address________________________________________________
________________________________________________
________________________________________________
Phone _____________________ Fax _____________________
*Email Address_____________________________________________
*(please add your email address so that we may easily contact you if necessary)
Crawfish Boil at our shop afterwards, 15413 Lemoyne Blvd, just down the street