Pavement Cleaning BMPs
For California Roadway Sweeping

Orange County Sign Up Form

Seminars Sponsored by

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This is the sign up form for the Orange County (Costa Mesa) seminar to be held on May 5th. To sign up for it, please provide the information requested on the form below.

If you intended to sign up for the Bay-area seminar, to be held Monday, May 8th, please go to this sign up form.

Note that items shown with an asterisk (*) are required for the form to work.

Name: *
Title:
Company Name:
Street Address:
City:
E-mail Address: *
State:
Zip:
Contact Phone:
My interest in coming is to: *
Would you like to order an onsite lunch ($10/person; payable at the door)? *
Which of the following best describes you? *
What are your reasons for attending this seminar? (Please check all that apply.) *Development of a better clean water program
Better educate my clients about sweeper use
Development of a better sweeping/cleaning program
Estimation of stormwater pollution reduction from sweeping
Assessment of available sweeping/cleaning equipment
Learn more about stormwater quality modeling
Other
Confirm Seminar Location *Orange County
Message or Questions:
* Required

If the form is sent successfully you will receive a confirmation email to the address you have entered. If you have questions or need to cancel, please send us an email or call 360-724-7355, after 9am, Pacific.

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