Event:

July 2008 Joint Conference and Exposition
Membrane Week

Please fill in the information below, submit it, and someone will contact you regarding your registration.

Name:

Salutation:

First:

Middle:

Last:

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Job Title:

Company:

Mailing Address:

City:

State:

Zip:

Country:

Phone:

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Fax:

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E-mail:

* Required field

Website:

I will attend the following functions, which are included in the registration fee:

Facility Tour 1- Collier Co. So.	Monday, July 14 - 1:30-4:30 pm	Yes	No
Facility Tour 2 - Collier Co. No.	Monday, July 14 - 1:30-4:30 pm	Yes	No
Welcome Reception & Social	Monday, July 14 - 4:30-6:30 pm	Yes	No
Awards Luncheon	Tuesday, July 15 - 12:00-2:00 pm	Yes	No
Membership Meeting	Tuesday, July 15 - 4:00-5:00 pm	Yes	No
Poster Social/Reception	Tuesday, July 15 - 5:00-7:00 pm	Yes	No
Intl. Affiliates Luncheon	Wednesday, July 16 - 12:00-1:30 pm	Yes	No
Regulatory Breakfast	Thursday, July 17 - 7:30-9:00 am	Yes	No
Exhibit Hall Lunch	Thursday, July 17 - 12:30-1:30 pm	Yes	No

Member of:
AMTA
SEDA
SCMA
SWMOA
IDA

Special Needs:
Wheelchair Access
Visually Impaired
Hearing Impaired
Vegetarian Meals
Other

Registration and Payment must be received by:

June 27th

On/After June 28th

Members/Affiliate (must be listed above)

$695

$795

Non-Members

$895

$995

SEDA Div. 1B Member/Full-Time Student/Retired

$350

$450

One Day Only: (please indicate which day)

$300

$400

Tues. Wed. Thurs.

Exhibit Hall Access Only - 1 Day (meals not included)

$75

$75

Exhibit Rep. (Exhibit Hall Access/Meal Functions Only)

$325

$425

Exhibit Rep. Upgrade to Full Attendee (already Reg.)

$370

$370

Optional Items:

June 27th

On/After June 28th

Pre-Conf. Workshop Half Day (PC-1) - Mon., July 14

$75

$125

Pre-Conf. Workshop Full Day (PC-2) - Mon., July 14
$145 $195

Networking Reception Poolside - Wed, July 16 (Adult)
$20 $30

Networking Reception Poolside - Wed, July 16 (Child)
$10 $20

CEUs (FL & CA water and wastewater - pending approval)
$25 $25

Cannot Attend Conference - Purchase Materials Only $100 $100

Guest - Full Package - all Meal Functions $150 $175

Guest Welcome Reception Ticket - Mon., July. 14 $20 $30

Guest Awards Lunch Ticket - Tues., July 15 $40 $50

Guest Poster Social Ticket - Tues., July 15 $20 $30

Guest Intl. Affiliates Lunch Ticket - Wed., July 16 $40 $50

Guest Regulatory Breakfast - Thurs. July 17 $30 $40

Guest Lunch - Thurs., July 17 $30 $40

Exhibitor/Sponsor
(please use Exhibitor/Sponsor Registration Form)

I am planning on paying by:

Check Credit Card Invoice

If you are planning on paying by credit card, please fax your credit card information to 772-463-0860 or e-mail it to admin@amtaorg.com.

Registration and Payment must be received by:		June 27th	On/After June 28th
	Members/Affiliate (must be listed above)	$695	$795
	Non-Members	$895	$995
	SEDA Div. 1B Member/Full-Time Student/Retired	$350	$450
	One Day Only: (please indicate which day)	$300	$400
	Tues. Wed. Thurs.
	Exhibit Hall Access Only - 1 Day (meals not included)	$75	$75
	Exhibit Rep. (Exhibit Hall Access/Meal Functions Only)	$325	$425
	Exhibit Rep. Upgrade to Full Attendee (already Reg.)	$370	$370

Optional Items:		June 27th	On/After June 28th
	Pre-Conf. Workshop Half Day (PC-1) - Mon., July 14	$75	$125
	Pre-Conf. Workshop Full Day (PC-2) - Mon., July 14	$145	$195
	Networking Reception Poolside - Wed, July 16 (Adult)	$20	$30
	Networking Reception Poolside - Wed, July 16 (Child)	$10	$20
	CEUs (FL & CA water and wastewater - pending approval)	$25	$25
	Cannot Attend Conference - Purchase Materials Only	$100	$100
	Guest - Full Package - all Meal Functions	$150	$175
	Guest Welcome Reception Ticket - Mon., July. 14	$20	$30
	Guest Awards Lunch Ticket - Tues., July 15	$40	$50
	Guest Poster Social Ticket - Tues., July 15	$20	$30
	Guest Intl. Affiliates Lunch Ticket - Wed., July 16	$40	$50
	Guest Regulatory Breakfast - Thurs. July 17	$30	$40
	Guest Lunch - Thurs., July 17	$30	$40