2022 Water Institute Utility Registration October 26, 2022 Step 1 of 12 8% Company InformationCity, Town, Utility, Company* Contact Person* Email* Address* City* State* Zip Code* Phone*FaxCell Registrant InformationTotal Number of Attendees*Be sure to count both included attendees and additional attendees.123456789Registrant 1Name Email Phone Fax Cell PO# Guest Name I am registering for...Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Total $0.00 Registrant 2Name Email Phone Fax Cell Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 3Name Email Phone Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 4Name Email Phone Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 5Name Email Phone Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 6Name Email Phone Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 7Name Email Phone Guest Name Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 8Name Email Phone Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 9Name Email Phone Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Registrant 10Name Email Phone Member SessionsINAWWA Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Non-Member SessionsINAWWA NON-Member, Tuesday Sessions Water Operator Certification, Part 1 & 2 (8:00a-5:00p) Energy Audits at Your Utility (9:00a-4:00p) Cybersecurity Workshop (1:00p-5:00p) Small Systems Forum (3:00p-5:00p) Wastewater Technical Sessions (1:00p-4:50p) INAWWA NON-Member, Wed-Thurs Sessions Wednesday & Thursday Wednesday ONLY (General/Technical) Wednesday ONLY (Board Members & Managers) Wednesday ONLY Well Drillers & Pump Installers Thursday ONLY Tuesday MealsTuesday Lunch, Attendee Lunch, Guest Tuesday Reception- Welcome Social Hour (5:30-6:30pm)YesNoGUEST- Tuesday Reception- Welcome Social Hour (5:30-6:30pm)Please ChooseYesNoWednesday MealsWednesday Lunch Lunch, Attendee Lunch, Guest Wednesday Reception- Competitions Reception (5:30p-7:00p)YesNoGUEST- Wednesday Reception- Competitions Reception (5:30p-7:00p)Please chooseYesNoI will be submitting contact hours for: Water Wastewater Well Drillers/Pump Installers Engineer PDHs None Gambold Education Donation Total $0.00 Subtotal Options Total 2022 Water Institute Utility Registration quantity Add to cart
