2021 ANNUAL TECHNICAL CONFERENCE | Attendee Registration Form

44^rd ANNUAL TECHNICAL CONFERENCE & EXHIBITION
of the
ARKANSAS RURAL WATER ASSOCIATION
Aug 29 – Sept 1, 2021

Please submit a separate form for each attendee.
Register by July 30, 2021 to receive the discount pricing shown below.
NOTE: All member systems must be pre-registered for the conference by July 30, 2021 to 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) or N/A
Do you have any special needs?*
- Yes
- No
Please describe*
Registration Type
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 July 30, 2021; $200 at the door)
ARWA Member Pre-Registration
Price: $165.00 Quantity:
Price per person. Includes Registration, 2 Continental Breakfasts and 2 Luncheons (NOTE: Price increases to $195 after July 30, 2021; $220 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 July 30, 2021; $295 at the door)
Spouse Registration
Spouse Name
First Last
Spouse Luncheons (2)
Price: $75.00 Quantity:
*There will be no Spouse Luncheon tickets sold on-site!
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 “An even membership of one-cent per person is included in your registration fee(s) allowing participants in NRWA fundraising activities. This is required by Federal Election Commission laws. If you wish to opt-out please go to the registration desk at the conference for your refund of this one-cent fee”
Total
$0.00
Email
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44rd ANNUAL TECHNICAL CONFERENCE & EXHIBITION of the ARKANSAS RURAL WATER ASSOCIATION Aug 29 – Sept 1, 2021

Registration Type

Spouse Registration

ARWA Golf Tournament

44^rd ANNUAL TECHNICAL CONFERENCE & EXHIBITION
of the
ARKANSAS RURAL WATER ASSOCIATION
Aug 29 – Sept 1, 2021