Registration Form

Early Registration Deadline: March 11, 2022 Payment Must Accompany this Form or Registration Cannot be Processed REGISTER ONLINE: www.txwater.org. PLEASE PRINT OR TYPE

FIRST NAME______________________________________LAST NAME________________________________________ COMPANY________________________________________TITLE_____________________________________________ ADDRESS__________________________________________________________________________________________ CITY/STATE/ZIP____________________________________________________________________________________ PHONE_________________________________MEMBER #_______________________ ❑ WEF/WEAT ❑ AWWA/TAWWA EMAIL (REQUIRED FOR PROCESSING)_____________________________________________________________________

Received on/ before 3/11/22 Received after 3/11/22

Full Registration includes Tues. Awards Lunch, Wed. Women of Water Breakfast, Wed. Box Lunch and Wed. Night Out tickets ❑ Full Registration - MEMBER ....................... $295 ......... $345 ....... ______ ❑ Full Registration - NON MEMBER .............. $520 ......... $570 ....... ______

NON MEMBERS ONLY. Full registration at the non-member rate also includes a free one-year membership to either WEF/WEAT or AWWA/TAWWA. With full, non-member registration, please indicate which organization you wish to join (new members only - no renewals): ❑ WEF/WEAT ❑ AWWA/TAWWA ❑ Student (no meals) ........................................ $40 ........... $50 ......... ______ ❑ Tuesday Only - MEMBER (includes Awards Lunch ticket) .................. $165 .......... $195 ....... ______ ❑ Tuesday Only - NON MEMBER (includes Awards Lunch ticket) .................. $215 .......... $245 ....... ______ ❑ Wednesday Only - MEMBER (includes Box Lunch ticket) ........................ $130 ......... $160 ....... ______ ❑ Wednesday Only - NON MEMBER (includes Box Lunch ticket) ........................ $180 ......... $210 ....... ______ ❑ Thursday Only - MEMBER ............................ $80 ........... $90 ......... ______ ❑ Thursday Only - NON MEMBER ................... $90 ........... $100 ....... ______ ❑ Guest Program (includes Wed. Night ticket) ... $125 ......... $135 ....... ______ Guest Name For Badge:_________________________________ ❑ Exhibit Hall Only (4/5, 4/6) ............................ $55 ........... $55 ......... ______ (Sorry: No one-day passes available) ❑ I plan to participate in the Curtis Smalley Environmental Event (Monday) ❑ I plan to attend the Awards Celebration Lunch (Box lunch ticket required; included in Full Registration or Wednesday Only. Or purchase ticket below.)

THURSDAY FACILITY TOURS

Select Tour Below: ....................................... $30 ........... $35 ......... ______ ❑ Tour 1: SAWS Agua Vista Station ❑ Tour 2: SAWS Medio Creek Water Recycling Center ❑ Tour 3: San Pedro Creek Culture Park & Confluence Park

EXTRA TICKETS QUANTITY

*1 ticket included with Full Registration ❑ *Awards Lunch (Tues.) ................... _____ x $65 ........... $70 ........ ______ ❑ *Women of Water Breakfast (Wed.) .. _____ x $40 ........... $50 ........ ______ ❑ *Box Lunch (Wed.) ........................ _____ x $35 ........... $40 ........ ______ ❑ *TW22 Wednesday Night Event .... _____ x $95 ........... $105 ...... ______ ❑ Gloyna Breakfast (Thurs.) ............ _____ x $40 ........... $40 ........ ______ ❑ Donation “Water for People” - Optional .............................................. ______ ❑ This is my first time attending the Texas Water Conference

TCEQ Operator License #_______________________________

I have special dietary needs: ❑ Vegetarian ❑ Other ______________________________________________

THE EASIEST WAY TO REGISTER IS ONLINE: www.txwater.org

PAYMENT METHOD:

❑ Check Payable to Texas Water

Bill My: ❑ AMEX ❑ VISA ❑ MasterCard ❑ Discover

Card #___________________________________________ Expiration__________________Security Code___________ Cardholder Name__________________________________ Signature________________________________________ Credit Card Billing Address___________________________

(Put “Same” if same as above; necessary to process)

For more information, contact: Texas Water 512-251-8101 info@txwater.org

Register online at www.txwater.org

or mail form with payment to: Texas Water 2022 Registration c/o GCP Association Services PO Box 676 Pflugerville, TX 78691 or fax to 512-251-8152

No refunds will be granted after March 11, 2022. A $60 cancellation fee will be assessed to all refund requests made prior to March 11, 2022. Substitutions allowed. Substitutions may incur a $25 processing fee. All refunds must be requested in writing. Email or fax refund requests to Texas Water at info@txwater.org or (fax) 512-251-8152.