Georgia Rural Water Association Email Georgia Rural Water Association
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BURRIED ASSET MANAGEMENT CERTIFICATION
REGISTRATION FORM

Complete this form to initiate registration in the on-line/home study program.
Once your registration and payment is processed, BAMI will send you the program instructional materials and procedures to access and take the required examinations.
 FULL NAME: 
 MAILING ADDRESS:
CITY:  STATE: 
   ZIP: 
PHONE:    CELL PHONE: 
  E-MAIL: 
NOTE:
E-mail & Physical Address:  It is important that we have the addresses of the person registering to take the course, so that we may communicate directly regarding program details.
Georgia Rural Water Association
P.O. Box 383 • Barnesville, GA 30204
Telephone: (770) 358-0221 | Fax: (770) 358-4379
grwa1@grwa.org