Texas Desal 2019 Annual Conference Invited Speaker Registration – Austin, TX – Sept. 2019

Desalination Now: Saying Yes to a Reliable and Affordable Water Supply
Sonesta Bee Cave Hotel, Austin, TX
September 4-6, 2019

Registrant
Salutation*
First Name*
Last Name*
Job Title*
Company*
Address*
City*
State*
Zip/Postal Code*
Country*
Phone*
Cell
Email*
Enter registered attendee's email address
Website
Industry Type*
Other Industry Type*
Special Needs (if more than one apply, select other and list in special needs comments)
- Food Allergies (describe below)
- Gluten Free Meals
- Paleo Meals
- Vegan Meals
- Vegetarian Meals
- Wheelchair Access
- Other (describe below)
Special Needs Comments
Staying at Host Hotel
Make your lodging arrangements directly with the Sonesta Bee Cave Austin by clicking the link provided or by phone at 512-483-5900 and ask for the “#0903TEXDES” rate. This group rate has been negotiated for reservations made by August 13, 2019 (subject to availability)
Will you be staying at the Host Hotel?*
- Yes, I will be staying at the host hotel
- No, I will not be staying at the host hotel
How many nights will you be staying at the Host Hotel?*
Billing Contact Information
Enter billing contact information, if applicable
Billing Contact Name
First Last
Billing Contact Email
Enter billing contact's email address
Billing Contact Phone
- Please send copy of the invoice/receipt to Billing Contact
Conference Registration
Member?
Not sure? If you would like to confirm membership, click here to email custsrv@texasdesal.com
- Texas Desal Member
- Non-Member
Speaker/Moderator?
- No, not a Speaker/Moderator for this conference
- Yes, Speaker/Moderator for this conference
Today - Date
Date Format: MM slash DD slash YYYY
Registration (Invited Speaker)*
- Comp. Reg. for Invited Speaker, $0
Conference Activities
Ed Archuleta Scholarship/Brian William Norris Charity Foundation "Texas vs. the World" Wine Reception (Fee required, charities share net proceeds)*
Wednesday, September 4th, 4:30-6:00pm
- Yes, Attending/Guest(s) Scholarship/Texas vs. the World Wine Reception
- No, Not Attending Scholarship/Texas vs. the World Wine Reception
# of Ticket(s) ordering*
Provide all Guest Name(s)*
Enter each Guest First and Last Name; if more than one separate by semi-colon
Interested in making a donation to the Ed Archuleta Desalter Scholarship Fund?*
Click for more information
- Yes, I am interested in making a donation
- No, I am not interested in making a donation
Donation Amount*
- Donation of, $100
- Donation of, $250
- Donation of, $500
- Donation of, $1000
- Donation of, $2500
- Other, Enter Amount
Enter Amount*
How would you like the acknowledgement listed?*
- Your Name
- Company Name
- No acknowledgement needed
Keynote and Awards Luncheon (Included in registration fee)*
Thursday, September 5th, 12:00-1:15pm
- Yes, Attending Luncheon
- No, Not Attending Luncheon
VIP Reception (Included in registration fee)*
Thursday, September 5th, 5:00-6:30pm
- Yes, Attending VIP Reception
- No, Not Attending VIP Reception
Additional Guest Tickets Available
Guest/Spouse Keynote and Awards Luncheon (price per guest)*
Wednesday, September 4th, 12:00-1:15pm
- Yes, Guest Attending Luncheon, $75
- No, Guest Not Attending Luncheon
How many will be attending Luncheon?*
Guest Name(s) that will be attending Luncheon*
Enter each Guest First and Last Name; if more than one separate by semi-colon
Guest/Spouse VIP Reception (price per guest)*
Wednesday, September 4th, 5:00-6:30pm
- Yes, Guest Attending VIP Reception, $50
- No, Guest Not Attending VIP Reception
How many will be attending VIP Reception?*
Guest Name(s) that will be attending VIP Reception*
Enter each Guest First and Last Name; if more than one separate by semi-colon
Contact Hours Available
Contact Hours*
- Yes, need contact hours certification
- No contact hours required
included in registration fee
License #*
License State*
License Type*
License Grade*
Total Registration Fee
Total Registration Fee
$0.00
Payment Information
Payment Method*
- Complimentary Registration Only - No Optional Items Selected
- Credit Card - Online Payment
- eCheck (Bank Wire w/o processing fee) - Online Payment
- Check
- Invoice
If paying by check: Make checks payable to: Texas Desalination Association (TXD) and mail to: 2409 SE Dixie Hwy., Stuart, FL 34996.
Comments
Comments or Instructions
Written cancellation requests received by TXD on or before August 14, 2019 will receive a refund, less a 25% processing fee. Full payment is required if cancellation is received on or after August 15, 2019 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. Texas Desal 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, TXD’s liability is limited to the refund of the program fee only. toward the scheduled event.
Final Step of Application Process
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Texas Desalination Association (TXD)
Headquartered in Austin, TX

Mailing Address:
2409 SE Dixie Hwy
Stuart, FL 34996
(512) 322-0404

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Staying at Host Hotel

Billing Contact Information

Conference Registration

Conference Activities

Additional Guest Tickets Available

Contact Hours Available

Total Registration Fee

Payment Information

Comments

Final Step of Application Process

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