Relying on Membranes for Safe and Sustainable Potable Reuse Webinar Series Registration RegistrantPlease refrain from using all caps/uppercase letters, please use sentence structure letter case.Salutation*Mr.Mrs.Ms.Dr.First Name* Middle Initial Last Name* Job Title* Company* Address* City* State*Not Applicable, InternationalAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip* Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUSAUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone* Cell Email* Personal / Preferred Email Address to send Virtual Access LinkIf providing an alternate email other than listed above for receiving virtual access, provide the email address here. Company Website Need Contact Hours/CEUs? Need Contact Hours/CEUs? License # License State License Type License Class HiddenMember AMTA AWWA SEDA SWMOA NWMOA SCMA IDA (check all that apply) Billing Contact InformationEnter billing contact information, if applicableBilling Contact Name Billing Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Online Training Policy* Online Training Technical Requirements AMTA provides each attendee with the link to access the online training along with instructions. Participants are responsible for ensuring that: they have the needed equipment; it is functioning; it is compatible with the online training system; and they know how to use it. AMTA is not responsible for technical support before, during or after the online training. For technical support, please visit https://support.goto.com/webinar. AMTA’s refund policy excludes attendees experiencing technical difficulties or equipment failures. AMTA online trainings are conducted using GoToWebinar. It is highly recommended that you use the link provided to the GoToWebinar website to view compatibility requirements prior to the scheduled training. You must have access to a computer with an internet connection and an audio connection (phone line or computer mic and speaker). It is recommended that you participate from a quiet location where there will be few distractions. Online Training Continuing Education Units Requirements Inability to complete CEU requirements will result in no CEU’s being issued, regardless of the reason. • Attendees must pre‐register and provide a valid certification number. • Each attendee must be logged into a separate computer so that their participation may be accurately tracked. • Attendees must be logged in at the beginning and must remain logged in through the end of the session. • Attendees must promptly respond to brief quizzes or polling questions that appear randomly throughout the online training. • No partial credit will be given. • After the online training, AMTA staff will email CEU documentation to attendees meeting the CEU requirements. Reports will also be sent to the appropriate certification agencies. Online Training Recordings Online training participants should be aware that the online training they attend will be recorded. AMTA holds a perpetual license to copy, distribute, make videos, DVDs, CDs, publish, reproduce the recording, to post the recording on its website, to sell the recording or any copy or derivative thereof, to market and publicize the recording, all without any fee or compensation paid or to be paid to participants by AMTA. Prohibition of Recording: Recording of any sounds or visual images and use of any recording device now known, or later developed, is prohibited unless prior written permission has been expressly granted by AMTA. I agree to the Online Training Policy Registration Options December 6, 2022 Webinar 1: Implementing Potable Reuse Across America Large Scale Potable Reuse for Southern California Implementing Potable Reuse in Florida December 8, 2022 Webinar 2: Key Issues for Potable Reuse Addressing Low Molecular Weight Organics Direct Monitoring of Viruses through qPCRAdapting MBRs to Potable Reuse HiddenToday - Date MM slash DD slash YYYY Member?*In order for member discounts to be applied indicate if you are a member. If not a member Join AMTA Now for Member Discounted Rate. AMTA Member Non-Member Student (requires Membership Enrollment) Member Rate*Select Series Online Training Individual Online Training, $40 Series Online Training, $70 Webinar Series of 2 - Member*Select one or more Webinars to Attend Webinar 1 - December 6th, $40 Webinar 2 - December 8th, $40 Non-Member Rate* Individual Online Training, $65 Series Online Training, $110 Webinar Series of 2 - Non-Member*Select one or more Webinars to Attend Webinar 1 - December 6th, $65 Webinar 2 - December 8th, $65 Student Rate*Requires Membership Enrollment (Complimentary), Join Now Individual Online Training, $15 Series Online Training, $25 Webinar Series of 2 - Student*Select one or more Webinars to Attend Webinar 1 - December 6th, $15 Webinar 2 - December 8th, $15 Total $0.00 Payment InformationPayment Method* Credit Card - Online Payment eCheck (Bank Wire w/o processing fee) - Online Payment Check Invoice Mail check made payable to: American Membrane Technology Association 1811 Englewood Rd., #280, Englewood, FL 34223 Comments & CaptchaCommentsCAPTCHA HiddenCancellations and RefundsWritten cancellation requests received by AMTA 14 days before the event will receive a refund, less a $50 processing fee. No refunds and no credits for future events will be granted if requested after the 14 day deadline. However, substitutions may be made at any time. AMTA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each enrollee if a program is cancelled. If a program is not held, AMTA’s liability is limited to the refund of the program fee only. Please refer to AMTA’s Privacy Policy if you have any questions regarding your preferences.