STOP! DO NOT SUBMIT PAYMENT UNTIL YOU HAVE FILLED OUT AND SUBMITTED A REGISTRATION FORM!

REGISTRATION IS NOT CONFIRMED UNTILl BOTH THE REGISTRATION FORM AND PAYMENT ARE RECEIVED.

All fees are due no later than six weeks prior to class or when the class fills up – whichever comes first. To ensure you get the class date you require it is recommend you pay at the time you register for a class.

Payment by Check
(payable to Kansas City Backflow, 6324 N. Chatham #232, Kansas City, MO 64151)

Backflow Recertification: $395 (unless otherwise indicated)

Backflow Certification: $695 (unless otherwise indicated)

Payment by Credit Card

All Major credit cards are accepted:

Recertification: $395


Student Name
Date


Certification: $695


Student Name
Date


Retesting Fee: $175


Student Name
Class Date


Cancellations & Retesting Fees

CANCELLATIONS:There is no charge if a registration is canceled at least three weeks prior to class. Fees will be refunded or applied to a future class (up to three months).

Cancellations (or “no show” to class) received 21 days or less prior to class will have tuition refunded only if the spot can be filled. The following credits will be applied but must be used within three months:
Recertification: $150
Certification: $270

In the event a student fails either the written or hands-on portion the following retesting fees will be charged:
Recertification: $175
Certification: $175