Enrollment Request Form
Pretreatment Compliance Academy

Current Class Pollution Prevention (P2)

Class Date is October 15, 2008

The last date for this on-line enrollment request is  October 13, 2008

The Compliance Academy is designed for employees of Phoenix's Class A or B Significant Industrial Users. Other City of Phoenix employees, or employees of area municipalities may attend on a space available basis. No one will be able to attend a class without receiving prior enrollment confirmation. To attend a Compliance Acedemy Class and receive access to plant a U.S. Government photo I.D., (like a drivers license) or Passport must be shown at gate. PHOTOGRAPHS WILL NOT BE PERMITTED.

Please complete all the information and submit a separate request for each employee. It is pre-addressed to arrive at the correct destination when you click on the Submit button below.


EMPLOYEE NAME:  
COMPANY NAME:

JOB TITLE:

E-MAIL ADDRESS:
AREA CODE: PHONE NUMBER:
AREA CODE: FAX NUMBER:
ADDRESS:
CITY: STATE: ZIP:

I would like to attend the following session
Date 10/15/08  Time: 9 a.m. 11 a.m.  Morning Session

I would like to receive my notification by (you must choose one)
E-mail
Fax
Mail

So we can best respond to your request please enter any questions or requests in the box below. Be sure to press your Enter key at the end of each line.

Before you submit this e-mail form, we would like you to be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.

Last Modified on 09/17/2008 12:59:23