SWMOA Tours Registration – N. San Diego County, CA – Oct. 10th & SWMOA Workshop Registration – Carlsbad, CA – Oct. 11th Choose one of the following events or choose both to receive $50 savings Tuesday, October 10, 2017 | 7:30 a.m. - 4:45 p.m. (Space limited to 40 attendees)SWMOA Tours of Desal Facility & Membrane Manufacturer & Equipment FacilitiesNorth San Diego County, CA (Attendance is specifically for Utilities/End Users, all others interested will be placed on wait list due to space availability. Registration is also restricted to non-competing host facility companies that are not eligible to attend.) Wednesday, October 11, 2017 | 7:30 a.m. - 4:00 p.m. (Space limited to 50 attendees) SWMOA Start-Up & Challenges of a Membrane Reuse Facility Workshop Carlsbad Water Recycling Facility (CWRF) | Carlsbad, CA RegistrantPlease refrain from using all caps/uppercase letters, please use sentence structure letter case.Salutation*Mr.Mrs.Ms.Dr.First Name*Last Name*Job Title*Company*Address*City*State*Zip/Postal Code*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 PhoneEmail* Enter registered attendee's email addressAttendee materials delivery email option*Yes, I would like to have the materials sent to another email addressNo, I would like to have the materials sent to the email aboveAttendee materials will be sent approx. 2 weeks after event, provide an email address compatible to receive and/or access Hightail messages.Attendee materials email address If you prefer to an email other than listed above, provide the email address here. Website Special NeedsFood Allergies (describe below)Gluten Free MealsVegan MealsVegetarian MealsWheelchair AccessOther (describe below)Special Needs Comments Billing Contact InformationEnter billing contact information, if applicableBe advised, SWMOA’s mailing address has changed: 2409 SE Dixie Hwy., Stuart, FL 34996Billing Contact NameBilling Contact Email Enter billing contact's email address, if applicableBilling Contact Phone Please send copy of the invoice/receipt to Billing Contact Tours and Workshop Registrations$50 discount if choose both Tours and Workshop Choose one event:SWMOA Members, $175 Non-Members - Certified Ops (includes current year Div 1B SWMOA Membership), $250Non-Members - Non-Ops-Individual (includes 1 year Div.3C SWMOA membership), $300Choose both events: ($50 savings) SWMOA Members, $300 Non-Members - Certified Ops (includes current year Div 1B SWMOA Membership), $375 Non-Members - Non-Ops-Individual (includes 1 year Div.3C SWMOA membership), $425Choose Both Events ($50 savings)*Choose Both Events ($50 savings)Attend Oct. 10th Tours OnlyAttend Oct. 11th Workshop Only Oct. 10th Tours Registration*SWMOA Members, $175Non-Members - Certified Ops (includes current year Div 1B SWMOA Membership), $250Non-Members - Non-Ops-Individual (includes 1 year Div.3C SWMOA membership), $300For other types of membership - please contact SWMOA for membership application, or click here to apply for membership now. Dress Code: Closed Toed Shoes are required. Open toed shoes, flip flops and other similar footwear are not permitted.Oct. 11th Workshop Registration*SWMOA Members, $175Non-Members - Certified Ops (includes current year Div 1B SWMOA Membership), $250Non-Members - Non-Ops-Individual (includes 1 year Div.3C SWMOA membership), $300For other types of membership - please contact SWMOA for membership application, or click here to apply for membership now. Tours & Workshop Registrations ($50 savings)*SWMOA Members, $300Non-Members - Certified Ops (includes current year Div 1B SWMOA Membership), $375Non-Members - Non-Ops-Individual (includes 1 year Div.3C SWMOA membership), $425For other types of membership - please contact SWMOA for membership application, or click here to apply for membership now. Dress Code for Tours: Closed Toed Shoes are required. Open toed shoes, flip flops and other similar footwear are not permitted. Contact Hours*Yes, need contact hours certificationNo contact hours requiredIncluded in registration feeLicense #*License State*License Type*License Grade* Total Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf paying by check, make payable to Southwest Membrane Operator Association (SWMOA)Mail to: 2409 SE Dixie Hwy., Stuart, FL, 34996. CommentsComments or Instructions Written cancellation requests received on or before Sept. 26, 2017 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after Sept. 27, 2017 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. SWMOA 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, SWMOA’s liability is limited to the refund of the program fee only. Final Step of Application ProcessCAPTCHAPlease enter the letters displayed above to complete your application and then click Submit.Please refer to SWMOA’s Privacy Policy if you have any questions regarding your preferences.EmailThis field is for validation purposes and should be left unchanged.