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.

Make your check or money order payable to the Rural Water Association of Utah and send to:

Rural Water Association of Utah
76 Red Pine Drive
Alpine, UT 84004

Note: You will not be able to access the online course for 10 working days after RWAU receives and processes your payment. You will receive an email when you are able to access the course.