SMWWF

MSU Virtual University
SUPERVISORY MANAGEMENT
IN THE WATER/WASTEWATER FIELD
Mail Registration 
Please print this registration form and send it, with a check, purchase order, or money order for $325 made out to Michigan State University, to the the Self-Study Coordinator at the address below. 

After printing the form, you may return to the preview page by clicking here.


 
Name: _____________________________________________________
Social Security #:
XXX - XX - _______ (type only the last four digits of your SSN)
Address: _____________________________________________________
_____________________________________________________
Telephone: _____________________________________________________
FAX: _____________________________________________________
E-mail: _____________________________________________________
Job area: ____ Water      ____ Wastewater      ____ Other

 

_______________ TOTAL PAYMENT (enclosed) 
 
Please send this enrollment form, along with your check, purchase order, or money order made payable to Michigan State University to the following address:

Self-Study Course Coordinator
Office of Executive Development Programs, MSU
3535 Forest Rd
Lansing, MI 48910
Fax: 517-353-0796

Thank you for enrolling in MSU's Supervisory Management in the Water/Wastewater Field.

 Copyright MSU Board of Trustees © 2001
 Last Modified Jan 14, 2002