PLAN TO ATTEND
| |ATTENDEE REGISTRATION FORM |
| |January 22 – 26, 2018 |
| |Ramada Plaza Hotel (formerly Crowne Plaza) |
| |Jamesburg, NJ |
| |REGISTRATION DEADLINE DATE: |
| |FRIDAY, JANUARY 12, 2018 |
|IMPORTANT! This is a multi-page Registration Form – please be sure to complete ALL required information. This page is for your Attendee Contact Information and |
|Payment details – in addition to this form, you MUST complete a Seminar Registration Form for EACH individual attending from your company. This will ensure that |
|we register all individuals for their designated choices. |
|ATTENDEE CONTACT INFORMATION |
| |
|Name Company |
| |
|Address City |
|State Zip |
| |
|Email Phone |
|Fax |
|Please Check One: □ IANJ Member (or other state IA or STMANJ member*) □ Non-Member |
|* We will be offering member pricing to CT, NY, DE and other state IA association members |
|ADDITIONAL ATTENDEES FROM THIS COMPANY |
|Name |
|Name |
|NOTE: Each individual requires their OWN completed Seminar Registration Form (see next page) |
|PAYMENT INFORMATION |
| Total Amount Due (add up totals from all Seminar Registration Forms) - $ |
| □ Check enclosed OR Credit Card: □ American Express □ MasterCard □ Visa |
|(made payable to IANJ) |
| |
|Card # Exp Date CVV |
| |
|Cardholder Name Signature |
| |
|Card Billing Address Zip |
|Class Cancellation/Weather Policy – Snow or other adverse weather does not normally cause us to cancel classes therefore, expect that your class will be held |
|unless the New Jersey Turnpike is closed. We cannot issue refunds or credit for classes missed due to weather unless the IANJ cancels the class due to lack of |
|registration attendance. |
REGISTER ONLINE AT
OR
Complete and return with payment to:
IANJ Headquarters * PO Box 518 * Mt. Laurel, NJ 08054
Telephone 973-850-3366 * Fax 856-727-9504 * Email candi@
Late registration will be only be accepted if space is available - DON'T DELAY, REGISTER TODAY!
| |SEMINAR REGISTRATION FORM |
| |January 22 – 26, 2018 |
| |Ramada Plaza Hotel (formerly Crowne Plaza) |
| |Jamesburg, NJ |
| |REGISTRATION DEADLINE DATE: |
| |FRIDAY, JANUARY 12, 2018 |
|IMPORTANT! This is a multi-page Registration Form – please be sure to complete ALL required information. This page is for your Individual Seminar Registrations |
|(one per person) - in addition to this form, you MUST complete an Attendee Registration Form, which contains Attendee Contact Information and Payment details. See|
|the Course Description pages for details on each class’s content and CEC information. |
|ATTENDEE NAME: |
|PLEASE NOTE (4) LEARNING TRACKS – CERTIFICATION, BUSINESS, DESIGN, MAINTENANCE |
|MONDAY – January 22nd |
|Check: |Time |Course Name |Member $ |Non-Member |
|□ |8:00am - 5:00pm |Backflow Recertification Review Training & Testing (+Exam on Tuesday) |$475.00 |$775.00 |
| | |CERT - 6 CECs |(course + exam) |(course + exam) |
|□ |8:00am – 5:00pm |Landscape Irrigation Technician Course (review for CIT exam) |$250.00 |$500.00 |
| | |CERT -12 CECs (WC) * 1.5 DAY COURSE *THIS IS DAY 1* |(course only) |(course only) |
|TUESDAY – January 23rd |
|EXAM |8:00am – 12:00pm |Backflow Re-Cert Exam (for those taking BF Course on Monday) |PAID ABOVE |PAID ABOVE |
|DAY 2 |8:00am – 12:00pm |Landscape Irrigation Technician Course (review for CIT exam) |PAID ABOVE |PAID ABOVE |
| | |* 1.5 DAY COURSE * THIS IS DAY 2 * | | |
|□ |8:00am - 5:00pm |Foundations of Landscape Irrigation Design – DESIGN 16 CECs (8 WC) |$390.00 |$780.00 |
| | |* 2 DAY COURSE *THIS IS DAY 1* |(2 days) |(2 days) |
|□ |8:00am - 12:00pm |Electrical Troubleshooting 101 –MAINT 4 CECs |$95.00 |$190.00 |
|EXAM |1:00pm – 5:00pm |CERTIFIED IRRIGATION TECHNICIAN EXAM |Pay to IA directly at time of exam |
| |Exam Proctor: |SEPARATE REGISTRATION REQUIRED – MUST REGISTER ONLINE AND PAY SEPARATE EXAM |registration at link shown at left |
| |Mike Edmiston |FEE ($175) TO TAKE THIS EXAM | |
| | |Link to register/pay for CIT exam: | |
| | | | |
|□ |1:00pm - 5:00pm |Electrical Troubleshooting 201: Two Wire – MAINT 4 CECs |$95.00 |$190.00 |
|□ |1:00pm – 5:00pm |Water Management with Today’s Technology– MAINT 4CECs (WC) |$95.00 |$190.00 |
|WEDNESDAY – January 24th |
|DAY 2 |8:00am - 5:00pm |Foundations of Landscape Irrigation Design |PAID ABOVE |PAID ABOVE |
| | |* 2 DAY COURSE *THIS IS DAY 2* | | |
|□ |8:00am - 5:00pm |Best Management Practices for Water Cons Design – DESIGN 8 CECs (WC) |$195.00 |$390.00 |
|□ |8:00am - 12:00pm |Managing An Irrigation Service Company – Part 1– BUSINESS 1 CECs |$95.00 |$190.00 |
|□ |8:00am – 12:00pm |Alternative Water For Landscape Irrigation Design – DESIGN 4 CECs (WC) | $95.00 | $190.00 |
|□ |1:00pm – 5:00pm |Managing An Irrigation Service Company – Part 2– BUSINESS 1 CECs | $95.00 | $190.00 |
|THURSDAY – January 25th |
|□ |8:00am – 5:00pm |Basics of Landscape Irrigation & What Can Go Wrong – MAINT 8 CECs (WC) |$195.00 |$390.00 |
|□ |8:00am – 12:00pm |Water Efficient Irrigation Scheduling – MAINT 4 CECs (WC) |$95.00 |$190.00 |
|□ |1:00pm - 5:00pm |LEED For The Irrigation Professional – DESIGN 4 CECs (WC) |$95.00 |$190.00 |
|FRIDAY – January 26th |
|□ |8:00am – 12:00pm |Irrigation Pumps & Controls – MAINT 4 CECs |$95.00 |$190.00 |
|□ |1:00pm – 4:00pm |Troubleshooting Irrigation System Problems – MAINT 3 CECs |$75.00 |$150.00 |
|SUB-TOTAL OF REGISTRATION FEES: | | |
|TOTAL REGISTRATION FEES: | | |
REMEMBER – Complete a copy of this form for EACH individual from your company – complete only ONE copy of the Attendee Registration Form – submit all with payment at one time
REGISTER ONLINE AT
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