Pay for a course with a company check or money order

PLEASE PRINT ONE FORM FOR EACH COURSE PURCHASED.
(One check may be submitted for multiple purchases.)
Full name:
Phone number:
E-mail:
Certification type:
Payment is for:
Amount to enclose:
Special notes:

  Only after filling in all information,
  

Please print and include this page with your payment. If you do not have a printer, simply write down the information requested on this form and include it with your payment.

Important: Please be careful not to take a course more than once; DEP will not give you CEUs for duplicate courses.

Make your company check or money order payable to the Florida Rural Water Association and send to:

Florida Rural Water Association
2970 Wellington Circle
Tallahassee, FL 32309

Note: You will not be able to access the online course for 10 working days after FRWA receives and processes your payment. You will receive an email when you are able to access the course. FRWA does not accept personal checks or purchase orders.