Public Drinking Water Conference

Date(s):August 5 - 6, 2014
Credit Hours:12.0

One registrant per form, please.

Please enter your registration information below:

(* indicates a required field)

First Name*
Last Name*
Title
Organization*
Water Oper. License #
License number should consist of 2 letters (WO, WS, WD or WG) followed by 7 numbers (no spaces or dashes, if not applicable, please leave blank).
License # is required in order to receive TCEQ Water Operator License CEUs.
Address*
City*
State*
ZIP Code*
Phone* (ex. 512-555-1212)
Fax
Email Address*

Special Accommodations
If you have a disability and require special accommodations to fully participate in this event, please call the TCEQ at least three weeks prior to the start of the Public Drinking Water Conference at 512-471-0820. The TCEQ is an equal opportunity/affirmative action employer. The agency does not allow discrimination on the basis of race, color, religion, national origin, sex, disability, age, sexual orientation, or veteran status. In compliance with the Americans with Disabilities Act, this document may be requested in alternate formats by contacting the TCEQ at 512/239-0028, Fax 512/239-4488, or 800/RELAY-TX (TDD), or by writing P.O. Box 13087, Austin, TX 78711-3087.

Notice Concerning Your Information
The Texas Public Information Act, with a few exceptions, gives you the right to be informed about the information that The University of Texas at Austin collects about you. It also gives you the right to request a copy of that information; and to have The University correct any of that information that is wrong. You may request to receive and review any of that information, or request corrections to it, by contacting the University's Public Information Officer, Office of Financial Affairs, PO Box 8179, Austin, Texas 78713 (email:cfo@www.utexas.edu).