Please submit a separate form for each attendee. Register by August 11, 2017 to receive the discount pricing shown below. NOTE: All member systems must be pre-registered for the conference by August 11, 2017 to be eligible for the grand prize drawing for the 4-wheeler.Name* First Last RepresentingAddress* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Last 4 of SSNEnter last four digits of Social Security No. to obtain credit hours (for Water & WW license)Do you have any special needs? Check here if you have special needs and would like an ARWA Associate to contact you. Registration TypeARWA Member Pre-Registration Price: $165.00 Quantity: Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons (NOTE: Price increases to $195 after August 11, 2017; $220 at the door)ARWA Member Pre-Registration - Aquasure Member Discount Price: $150.00 Quantity: Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons (NOTE: Price increases to $180 after August 11, 2017; $200 at the door)Non-Member Pre-Registration Price: $240.00 Quantity: Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons (NOTE: Price increases to $270 after August 11, 2017)Spouse RegistrationSpouse Name First Last Spouse Luncheons (2) Price: $75.00 Quantity: ARWA Golf TournamentARWA Golf Tournament Pre-Registration FeeGolf Tournament will be held at the Diamondhead Golf Club Price: $80.00 Quantity: ARWA HAS A NO REFUND POLICYTotal $0.00 NameThis field is for validation purposes and should be left unchanged.