MDEQ Training Materials Order Form

(Complete this form, print and mail with payment to address below)



Phone No:

Shipping Address:

Operations Training Manual
5th Edition
Quantity X $50.00 = $
Exam Study Guide Quantity X $20.00 = $
Total $

Please attach check or money order payable to the State of Mississippi for total amount.

Mail To:

Mississippi Department of Environmental Quality
Attention: Business Services
P. O. Box2339
Jackson, MS 39225

(Allow 4 weeks for delivery)

Received by:______________________________ Date: __________
Check or Money Order Enclosed: Yes _____ No ____
Invoice Mailed: Yes ____ No ____ Date __________
Receipt Mailed: Yes ____ No ____ Date __________
Order Forwarded To: _____________________ Date ___________
Manual/Study Guide: Mailed ___ Delivered ___ Shipped ___ P/U ___ Date _______