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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