Aerial Rescue Training Workshop - April 29, 2023First Name*Last Name*CompanyEmail Address* Home PhoneAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Any Special Dietary Considerations?Registration FeeWAA Member Price $40.00WAA Non-Member Price $40.00Add new registrant? Yes NoRegistrant 2First Name*Last Name*CompanyEmail Address* Home PhoneAny Special Dietary Considerations?Registration FeeWAA Member Price $40.00WAA Non-Member Price $40.00Add new registrant? Yes NoRegistrant 3First Name*Last Name*CompanyEmail Address* Home PhoneAny Special Dietary Considerations?Registration FeeWAA Member Price $40.00WAA Non-Member Price $40.00Add new registrant? Yes NoRegistrant 4First Name*Last Name*CompanyEmail Address* Home PhoneAny Special Dietary Considerations?Registration FeeWAA Member Price $40.00WAA Non-Member Price $40.00PaymentTotal $0.00 Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Billing Address* Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cancellation Policy* I agree to the Cancellation policy.Refunds will be made if requested on or before April 21, 2023 with a $10 processing fee. There will be no refunds for cancellations made after April 21st, although substitutions may be permitted. Refunds will only be considered in emergency situations at the Wisconsin Arborist Association’s discretion. Refunds will not be provided for registrants who do not attend the event. Notice of cancellation and/or substitutions must be made by contacting Tina Johnson through the Contact Us page on our website or by calling Tina Johnson at 262-899-0060. A cancellation acknowledgement will be sent within 3 working days and fees refunded within 10 working days, subject to this Return Policy. We do not issue refunds once the event has occurred.CommentsThis field is for validation purposes and should be left unchanged.