Registration Form

Early Registration Deadline: March 20, 2023 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 #_______________________ ❑ AWWA/TAWWA ❑ WEF/WEAT EMAIL (REQUIRED FOR PROCESSING)_____________________________________________________________________

Received on/ before 3/20/23

Received after 3/20/23

Full Registration includes Wed. Awards Lunch, Thurs. Women of Water Breakfast, Thurs. Box Lunch and Thurs. Night Out tickets ❑ Full Registration - MEMBER ....................... $395 ......... $445 ....... ______ ❑ Full Registration - NON MEMBER .............. $635 ......... $685 ....... ______

NON MEMBERS ONLY. Full registration at the non-member rate also includes a free one-year membership in either AWWA/TAWWA or WEF/WEAT. With full, non-member registration, please indicate which organization you wish to join (new members only - no renewals): ❑ AWWA/TAWWA ❑ WEF/WEAT ❑ Student ........................................................ $50 ........... $60 ......... ______ (no meals/tickets included, must register with .edu email) ❑ Wednesday Only - MEMBER (includes Awards Lunch ticket) .................. $225 .......... $265 ....... ______ ❑ Wednesday Only - NON MEMBER (includes Awards Lunch ticket) .................. $285 .......... $325 ....... ______ ❑ Thursday Only - MEMBER (includes Box Lunch ticket) ........................ $175 ......... $215 ....... ______ ❑ Thursday Only - NON MEMBER (includes Box Lunch ticket) ........................ $235 ......... $275 ....... ______ ❑ Friday Only - MEMBER ................................. $110 ......... $120 ....... ______ ❑ Friday Only - NON MEMBER ........................ $120 ......... $135 ....... ______ ❑ Exhibit Hall Only (4/12, 4/13) ........................ $65 ........... $65 ......... ______ (Sorry: No one-day passes available) ❑ I plan to participate in the Curtis Smalley Environmental Event (Tuesday) ❑ I plan to attend the Awards Celebration Lunch (Box lunch ticket required; included in Full Registration or Thursday Only. Or purchase ticket below.)

FRIDAY FACILITY TOURS

Select One Tour Below: ................................. $35 ........... $40 ........ ______ ❑ Tour 1: City of Houston Northeast Water Purification Plant Expansion ❑ Tour 2: City of Sugar Land WTP/Constellation Field ❑ Tour 3: Gulf Coast Authority WW Treatment Plant/Bayou Nature Center

ADD ONS QUANTITY

*1 ticket included with Full Registration ❑ *Awards Lunch (Wed.) ................... _____ x $75 ........... $85 ........ ______ ❑ *Women of Water Breakfast (Thurs.) _____ x $50 ........... $60 ........ ______ ❑ *Box Lunch (Thurs.) ....................... _____ x $40 ........... $50 ........ ______ ❑ *TW23 Thursday Night Event ........ _____ x $100 ......... $110 ...... ______ ❑ Gloyna Breakfast (Fri.) ................. _____ x $50 ........... $50 ........ ______ ❑ Guest Badge ................................................... $110 .......... $130 ...... ______

(must accompany a full or one day registration; includes access to exhibit hall and ticket to Thurs. Night event) Badge Name: __________________________________ ❑ Donation to Water For People - Optional .......................................... ______

TOTAL PAYMENT (add right column) ..................... _____

❑ 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 2023 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 20, 2023. A $60 cancellation fee will be assessed to all refund requests made prior to March 20, 2023. Substitutions allowed. Substitutions may incur a $25 processing fee. All refunds must be requested in writing. Send refund or substitution requests to Texas Water at info@txwater.org.