Florida Water Resources Conference - Online Registration Form

2010 ATTENDEE REGISTRATION

Email us with any questions or comments: admin@fwrc.org

Attendee Information

Name:

First Name

Last Name

Company Name:

Work Address:

City

State

Zip

Telephone Number:

Fax Number:

Email Address:

Alternate Email Address:

Your Name to appear on badge:

Member Information

Yes, I am an active member of:

FWEA/WEF FSAWWA/AWWA FW&PCOA

Please contact me regarding membership in:

FWEA/WEF FSAWWA/AWWA FW&PCOA

Occupation
(please check one):

Manufacturer
Sales Representative
Operator
Consultant

Management
Young Prof.
Other

FULL CONFERENCE REGISTRATION (MAY 14,15,16, 2010)	PRICE	SUBTOTAL
Earns 0.1 CEU or 1 PDH per hour of attendance at Technical Sessions, Workshops and Tours Includes: Daily Receptions, Technical Sessions, Exhibits, Workshops each day, Monday Awards Luncheon, Monday Entertainment Night, Proceedings, & Eligibility for Daily Drawings.
Member/ Utility/ State Employee
Non-Member
Spouse
Retired Member
1-DAY-ONLY CONFERENCE REGISTRATION	PRICE	SUBTOTAL
Earns 0.1 CEU or 1 PDH per hour of attendance at Technical Sessions, Workshops and Tours Includes: Technical Sessions, Exhibits, Daily Reception, Proceedings, Luncheon, Workshop, Eligibility for Daily Drawings
1-Day Monday Registration, includes lunch - Select two (2) Workshops from below
1-Day Tuesday Registration, includes lunch Select Two (2) Workshops from below
1-Day Speaker
1-Day Contest Participants, includes lunch
1-Day Student
MONDAY WORKSHOP SELECTION: 0.1 CEU PER 1 CLASS HOUR	PRICE	SUBTOTAL
Select 2 Workshops on Monday (W1 and W2 are AM classes, W3 and W4 are PM classes)
D1 - Water Distribution Sys Operator Licensing
E1 -Collection & Distribution Systems
D6 - Biological Filtration for DPBs & TC/DOC Control
E6 - Florida Utility Management in a Time of Limited Resources
TUESDAY WORKSHOP SELECTION: 0.1 CEU PER 1 CLASS HOUR	PRICE	SUBTOTAL
Select 2 Workshops on Tuesday (W5 and W6 are AM classes, W7 and W8 are PM classes)
D11 - High Efficiency Anaerobic Digestion & Bio Energy Enhancement
E11 - Biosolids Management
D16 - Future Nutrient Regulations
E16 - Nitrogen from Septic Tanks: Reduction Strategies
SPECIAL EVENTS & MEAL TICKETS	PRICE	SUBTOTAL
M1 FSSSSS Member Breakfast
M2 AAEE Breakfast
M3 FWRC Awards Luncheon
T5 FSAWWA Reg Chairs & Volunteers Breakfast
T6 FWEA Awards Luncheon & Annual Meeting
T7 FWEA Utility Council Ann Mtg Breakfast
W7
W9 Individual Golf
TOTAL:

Check Here if you wish to earn, and where to apply credits:

Professional Engineer License #:
Wastewater License #:
Water License #:
Other License #:

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Cancellation Policy

Written cancellation is required and must be received no later than March 15, 2010.
A $25 handling fee will apply. Allow 6 weeks for processing.

Registration must have both form and fee remitted to be accepted. Confirmation will be mailed to you upon processing.