Clean Water U Training Fees
	Fee Packages Please select the quantity of each fee package: Full Fee (new student) Tier 1 (subsidized) $695.00 01234567891011121314151617181920 Tier 2 (partially subsidized) $995.00 01234567891011121314151617181920 Tier 3 (full cost) $1295.00 01234567891011121314151617181920 Deposit (new student) $300.00 01234567891011121314151617181920 Balance (new student) Tier 1 (subsidized) $395.00 01234567891011121314151617181920 Tier 2 (partially subsidized) $695.00 01234567891011121314151617181920 Tier 3 (full cost) $995.00 01234567891011121314151617181920 Alumni Fee $375.00 01234567891011121314151617181920 Shuttle Fee $50.00 01234567891011121314151617181920 Total: $0.00 Clean Water U Payment Info Payee: (e. g. First Presbyterian Church, Anytown, ST) Student name(s): CWU session date and workshop(s): (e. g. June 2014, 102) Contact Info for Billing First Name Last Name Address City State --choose-- ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Phone Email Payment Info I will pay by credit card I will pay by check Mail checks to: Living Waters for the World 5016 Spedale Court, #399 Spring Hill, TN 37174 First Name (as it appears on card) Last Name (as it appears on card) CC Number CCV Number (3-digits on back of card) Exp Date --choose month-- JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --choose year-- 202520262027202820292030 Comments Please enter comments / questions you may have: