2019 ANNUAL TECHNICAL CONFERENCE | Attendee Registration Form

PRE-REGISTRATION CLOSES August 16, 2019

42^nd ANNUAL TECHNICAL CONFERENCE & EXHIBITION
of the
ARKANSAS RURAL WATER ASSOCIATION
September 15-18, 2019

Please submit a separate form for each attendee.
Register by August 16, 2019 to receive the discount pricing shown below.
NOTE: All member systems must be pre-registered for the conference by August 16, 2019 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)
Do you have any special needs?*
- Yes
- No
Please describe*
Registration Type
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 August 16, 2019; $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 16, 2019; $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 16, 2019; $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.

PRE-REGISTRATION CLOSES August 16, 2019

42nd ANNUAL TECHNICAL CONFERENCE & EXHIBITION of the ARKANSAS RURAL WATER ASSOCIATION September 15-18, 2019

Registration Type

Spouse Registration

ARWA Golf Tournament

42^nd ANNUAL TECHNICAL CONFERENCE & EXHIBITION
of the
ARKANSAS RURAL WATER ASSOCIATION
September 15-18, 2019