Texas Desal 2022 Annual Conference Included Comp Registration – Sept. 14-16, 2022 RegistrantSalutation*Mr.Mrs.Ms.Dr.First Name* Last Name* Job Title* Company* Address* City* State* Zip/Postal Code* Country*USAAfghanistanÅland 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone* Cell Email*Enter registered attendee's email address Website Industry Type*AssociationConsultantEngineerGovernmentLegalManufacturerOther ResearcherPolicymakerRegulatorSupplierStudentUniversity/ProfessorWater Developer/FinancierWater PlannerWater UtilityOther, type belowOther Industry Type* Special Needs (if more than one apply, select other and list in special needs comments) Food Allergies (describe below) Gluten Free Meals Vegan Meals Vegetarian Meals Wheelchair Access Other (describe below) Special Needs Comments Staying at Host HotelMake your lodging arrangements directly with the Sonesta Bee Cave Austin by clicking the link provided or by phone at 512-483-5916 and ask for the “091322TXDE” rate. This group rate has been negotiated for reservations made by Wednesday, September 1st (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 InformationEnter billing contact information, if applicableBilling Contact Name First Last Billing Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Conference RegistrationEarly Registration applies to registrations received and paid in full by September 1, 2022In order for discounts to be applied, indicate if you are a member and if you are a speaker/moderator.TXD’s COVID-19 Safety Policy*TXD is committed to the health and safety of our Event Participants (attendees, speakers, staff, etc.). Participants of in-person events must notify TXD immediately if exposed to COVID within 10 business days of the start of event, regardless of COVID test results. In-person events held by TXD will maintain the highest of safety standards to protect the well-being of all Participants. Click Here for Safety Policy. Yes, I agree to notify TXD immediately if exposed to COVID within 10 business days of the start of event, regardless of COVID test results (Request a Free Home Testing Kit) (Agreement to these terms is required to register for event.) HiddenMember?*If you are not a member but would like to receive the member discounted rate, Click Here to join prior to registering. Texas Desal Member Non-Member HiddenSpeaker/Moderator?* No, not a Speaker/Moderator for this conference Yes, Speaker/Moderator for this conference Today - Date MM slash DD slash YYYY HiddenEarly Registration (Member)* Member/Gov. Full Conference, $350 Member/Gov. 1-Day, $200 Student Full Conference, $175 Student 1-Day, $60 Cannot Attend Conference - Purchase Materials Only, $30 HiddenEarly Registration (Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Member/Gov. Full Conference, $350 Member/Gov. 1-Day, $200 HiddenRegistration (Member)* Member/Gov. Full Conference, $450 Member/Gov. 1-Day, $250 Student Full Conference, $225 Student 1-Day, $75 Cannot Attend Conference - Purchase Materials Only, $30 HiddenRegistration (Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Member/Gov. Full Conference, $450 Member/Gov. 1-Day, $250 HiddenOnsite Registration (Member)* Member, $550 Student, $350 Cannot Attend Conference - Purchase Materials Only, $30 HiddenEarly Registration (Non-Member)* Non-Member Full Conference, $700 Non-Member 1-Day, $500 Student Full Conference, $225 Student 1-Day, $80 Cannot Attend Conference - Purchase Materials Only, $30 HiddenEarly Registration (Non-Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Non-Member Full Conference, $700 Non-Member 1-Day, $500 HiddenRegistration (Non-Member)* Non-Member Full Conference, $900 Non-Member 1-Day, $550 Student Full Conference, $275 Student 1-Day, $100 Cannot Attend Conference - Purchase Materials Only, $30 HiddenRegistration (Non-Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Non-Member Full Conference, $900 Non-Member 1-Day, $550 HiddenOnsite Registration (Non-Member)* Non-Member, $850 Student Non-Member, $400 Cannot Attend Conference - Purchase Materials Only, $30 Conference ActivitiesHiddenEd 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 Hidden# of Ticket(s) ordering*1 ticket, $752 ticket, $1503 Tickets, $2254 Tickets, $3005 Tickets, $3756 Tickets, $4507 Tickets, $5258 Tickets, $6009 Tickets, $67510 Tickets, $750HiddenProvide all Guest Name(s)*Enter each Guest First and Last Name; if more than one separate by semi-colon Luncheon with Keynote Presentation (Included in registration fee)*Thursday, September 15th, 11:45 a.m. - 1:00 p.m. Yes, Attending Luncheon No, Not Attending Luncheon Brackish Happy Hour Roundtable Discussion & Networking (Included in registration fee)*Thursday, September 15th, 3:30 - 5:00 p.m. Yes, Attending Happy Hour & Networking No, Not Attending Happy Hour & Networking HiddenLuncheon with Keynote Presentation (Included in registration fee)*Friday, September 16th, 12:00 - 1:00 p.m. Yes, Attending Luncheon No, Not Attending Luncheon HiddenVIP Reception (Included in registration fee)*Thursday, September 5th, 5:00-6:30pm Yes, Attending VIP Reception No, Not Attending VIP Reception Additional Guest Tickets AvailableGuest/Spouse Attending Thursday Luncheon with Keynote Presentation (price per guest)*Thursday, September 15th, 11:45 a.m. - 1:00 p.m. Yes, Guest/Spouse Attending Thursday Luncheon with Keynote Presentation, $75 No, Guest Not Attending Thursday Luncheon with Keynote Presentation How many will be attending Thursday Luncheon?*1 ticket, $752 ticket, $1503 ticket, $2254 ticket, $3005 ticket, $3756 ticket, $4507 ticket, $5258 ticket, $6009 ticket, $67510 ticket, $750Guest Name(s) that will be attending Thursday Luncheon*Enter each Guest First and Last Name; if more than one separate by semi-colon Guest/Spouse Brackish Happy Hour Roundtable Discussion & Networking (price per guest)*Thursday, September 15th, 3:30 - 5:00 p.m. Yes, Guest/Spouse Attending Happy Hour & Networking, $50 No, Guest/Spouse Not Attending Happy Hour & Networking How many will be attending Happy Hour & Networking?*1 ticket, $502 ticket, $1003 ticket, $1504 ticket, $2005 ticket, $2506 ticket, $3007 ticket, $3508 ticket, $4009 ticket, $45010 ticket, $500Guest Name(s) that will be attending Happy Hour & Networking*Enter each Guest First and Last Name; if more than one separate by semi-colon HiddenGuest/Spouse Friday Luncheon with Keynote Presentation (Price per guest)*Friday, September 16th, 12:00 - 1:00 p.m. Yes, Guest Attending Friday Luncheon, $75 No, Guest Not Attending Friday Luncheon HiddenHow many will be attending Friday Luncheon?*1 ticket, $752 ticket, $1503 ticket, $2254 ticket, $3005 ticket, $3756 ticket, $4507 ticket, $5258 ticket, $6009 ticket, $67510 ticket, $750HiddenGuest Name(s) that will be attending Friday Luncheon*Enter each Guest First and Last Name; if more than one separate by semi-colon HiddenContact Hours AvailableHiddenContact Hours* Yes, need contact hours certification No contact hours required Included in registration feeHiddenLicense #* HiddenLicense State* HiddenLicense Type* HiddenLicense Grade* HiddenInterested 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 HiddenDonation Amount* Donation of, $100 Donation of, $250 Donation of, $500 Donation of, $1000 Donation of, $2500 Other, Enter Amount Enter Amount* HiddenHow would you like the acknowledgement listed?* Your Name Company Name No acknowledgement needed Total Registration FeeSpeaker Registration Discount $0.00 Subtotal $0.00 Total Registration Fee $0.00 Payment InformationPayment Method* 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. CommentsComments or Instructions Written cancellation requests received by TXD at least 14 days before a scheduled event will receive a refund, less a $50 administrative processing fee. Full payment is required if the cancellation request is received less than 14 days prior to the scheduled event and no refund will be available. A substitution of the registrant may be made any time without cost up to the date of the event. TXD reserves the right to make changes to the scheduled event including but not limited to changing the event location, scheduled date(s), program and speakers, or to cancel the event in its entirety when conditions beyond its control prevail. If the event is cancelled, TXD’s liability is limited to providing a full refund of the fees paid toward the scheduled event. Final Step of Registration ProcessPlease refer to TXD’s Privacy Policy if you have any questions regarding your preferences.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
