2019 ANNUAL TECHNICAL CONFERENCE | Attendee Registration Form

Please submit a separate form for each attendee.
NOTE: Registrations received after August 10, 2018 may not be eligible for the grand prize drawing for the 4-wheeler.
Name*
First Last
Representing
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Last 4 of SSN
Enter last four digits of Social Security No. to obtain credit hours (for Water & WW license)
Do you have any special needs?*
- Yes
- No
Please describe*
Registration Type
ARWA Member Registration
Price: $195.00 Quantity:
Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons ($220 at the door)
ARWA Member Registration - Aquasure Member Discount
Price: $180.00 Quantity:
Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons ($200 at the door)
Non-Member Registration
Price: $270.00 Quantity:
Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons ($295 at the door)
Spouse Registration
Spouse Name
First Last
Spouse Luncheons (2)
Price: $75.00 Quantity:
ARWA Golf Tournament
ARWA Golf Tournament Pre-Registration Fee
Golf Tournament will be held at the Diamondhead Golf Club
Price: $80.00 Quantity:
ARWA HAS A NO REFUND POLICY
Total
$0.00
Email
This field is for validation purposes and should be left unchanged.

Registration Type