Operator Expo – Attendee Registration | Arkansas Rural Water Association

Please complete and submit the form below for each Attendee.

"*" indicates required fields

Registration Fee*

NO REFUNDS

ARWA Member: $100

Non-Member: $150

Events*

Please select which event(s) you plan to attend:

EXPO (June 28, 2023)

Water Specialized Training (June 27-28, 2023)

Wastewater Specialized Training (June 28-29, 2023)

Attendee Name*

First Last

Position:*

System Name:*

Address:*

Street Address City State ZIP Code

Email*

Phone:*

Operator ID:*

(Last four of SSN and first three letters of last name)

Tee Shirt Size:*

Total Due

How do you wish to pay?*

Pay online now

Pay by invoice

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name