“Securing Drinking Water and Wastewater Treatment Facilities”

Pennsylvania DEP Approved Correspondence Course

$85.00

We have your required training for operator renewal. Fax or e-mail this form
back to TLC and we’ll send your required training materials to you.

Name ________________________________________________________________

Address: _______________________________________________________________

City____________________________State____________Zip_______________

Email________________________________ Fax (____)___________________

Phone:
Home (____) ___________________ Work (____)______________________

PO Box 420, Payson AZ 85547-0420

(928) 468-0665 Fax (928) 468-0675 Toll Free (866) 557-1746

info@tlch2o.com
Visit us on the web at www.ABCTLC.com

3 digit code on back of card_____

American Express
Master Card / Visa Card #________________________ Exp. Date___________

If you’ve paid on the Internet, please write your Customer #_____________

Please invoice us; write your PO Number ____________________________

We have 40 continuing education courses approved by Penn DEP for your

renewal.