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2019 Factory School Attendee Form

Download the PDF here or use the form below:

2019 Factory School Attendee Form

    Includes: Lodging, group meals, training and training material.
  • Distributors may leave this field blank.
    Checks Payable to:
    Xylem Inc.
    2881 East Bayard St. Ext.,
    Seneca Falls, NY 13148
    Attn: Kim VanDeventer
  • $0.00
  • *Arrival needs to be approx. 2pm, Departure after 4pm
  • *Depart after 4pm/Flights after 6pm
  • There will be no charge for attendees who cancel 3 weeks prior to class in writing. Attendees who cancel less than 3 weeks will be charged 50% of course fee. If you do not cancel and you do not attend, you are still responsible for full payment.

    Do not make travel arrangements until you are confirmed for the class via email or fax from Kim VanDeventer. No refunds will be issued.