Texas Desal 2024 Annual Conference Registration (Included Comp) – Sept. 11-13, 2024 Venue: City of Austin Permitting & Development Center (PDC) 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*CellEmail*Enter registered attendee’s email address WebsiteIndustry 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 Vegetarian Meals Wheelchair Access Other (describe below) Special Needs Comments Billing ContactIf different than registered attendee enter Billing Contact informationBilling Contact check box Please send copy of the invoice/receipt to Billing Contact Billing Contact Name* First Last Billing Contact Email* Billing Contact Phone* Staying at Host HotelMake your lodging arrangements directly with the Drury Inn & Suites Austin North by clicking the link provided, or by phone at 1-800-325-0720, and reference group number “10097439”. The group rate has been negotiated for reservations made by Wednesday, August 7th (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?* Conference RegistrationThis field is hidden when viewing the formTXD’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.) This field is hidden when viewing the formMember?*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 This field is hidden when viewing the formSpeaker/Moderator?* No, not a Speaker/Moderator for this conference Yes, Speaker/Moderator for this conference Registration* Comp. Reg. for Exhibit/Sponsor (already purchased), $0 Today – Date MM slash DD slash YYYY This field is hidden when viewing the formEarly Registration (Member)* Member/Gov. Full Conference, $400 Member/Gov. 1-Day, $250 Member/Gov. 1/2-Day, $200 Student Full Conference, $200 Student 1-Day, $100 Cannot Attend Conference – Purchase Materials Only, $30 This field is hidden when viewing the formEarly Registration (Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Member/Gov. Full Conference, $400 Member/Gov. 1-Day, $250 Member/Gov. 1/2-Day, $200 This field is hidden when viewing the formRegistration (Member)* Member/Gov. Full Conference, $500 Member/Gov. 1-Day, $300 Member/Gov. 1/2-Day, $250 Student Full Conference, $250 Student 1-Day, $125 Cannot Attend Conference – Purchase Materials Only, $30 This field is hidden when viewing the formRegistration (Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Member/Gov. Full Conference, $500 Member/Gov. 1-Day, $300 Member/Gov. 1/2-Day, $250 This field is hidden when viewing the formOnsite Registration (Member)* Member, $550 Student, $350 Cannot Attend Conference – Purchase Materials Only, $30 This field is hidden when viewing the formEarly Registration (Non-Member)* Non-Member Full Conference, $750 Non-Member 1-Day, $550 Student Full Conference, $200 Student 1-Day, $100 Cannot Attend Conference – Purchase Materials Only, $30 This field is hidden when viewing the formEarly Registration (Non-Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Non-Member Full Conference, $750 Non-Member 1-Day, $550 This field is hidden when viewing the formRegistration (Non-Member)* Non-Member Full Conference, $950 Non-Member 1-Day, $600 Student Full Conference, $250 Student 1-Day, $125 Cannot Attend Conference – Purchase Materials Only, $30 This field is hidden when viewing the formRegistration (Non-Member, Speaker)*$50 Discount will be applied once appropriate rate selected below Non-Member Full Conference, $950 Non-Member 1-Day, $600 This field is hidden when viewing the formOnsite Registration (Non-Member)* Non-Member, $850 Student Non-Member, $400 Cannot Attend Conference – Purchase Materials Only, $30 Conference ActivitiesThis field is hidden when viewing the formEd 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 This field is hidden when viewing the form# of Ticket(s) ordering*1 ticket, $752 ticket, $1503 Tickets, $2254 Tickets, $3005 Tickets, $3756 Tickets, $4507 Tickets, $5258 Tickets, $6009 Tickets, $67510 Tickets, $750This field is hidden when viewing the formProvide all Guest Name(s)*Enter each Guest First and Last Name; if more than one separate by semi-colonThis field is hidden when viewing the formFacility Tour (Included in registration fee)*Tour of the Kay Bailey Hutchinson Desalination PlantWednesday, September 27th, 1:00 – 3:00 p.m. Yes, Attending KBH Facility Tour No, Not Attending KBH Facility Tour This field is hidden when viewing the formFacility Tour (Included in registration fee)*Tour of the UW-Blue Brine P1 PlantWednesday, September 27th, between 3:15 – 5:30 p.m.Attendees breaking into 2 groups for Tour and Talks with Experts, groups will alternate activities. Yes, Attending UW-Blue Brine P1 Facility Tour No, Not Attending UW-Blue Brine P1 Facility Tour This field is hidden when viewing the formTalks with Experts Session (Included in registration fee)*Talks with Experts in Exhibit Hall – presentations by Sponsors and ExhibitorsWednesday, September 27th, between 3:15 – 5:30 p.m.Attendees breaking into 2 groups for Tour and Talks with Experts, groups will alternate activities. Yes, Attending Talks with Experts No, Not Attending Talks with Experts Luncheon & Annual Membership Meeting (Included in registration fee)*Thursday, September 12th, 12:30 – 1:30 p.m. Yes, Attending Luncheon & Annual Membership Meeting No, Not Attending Luncheon & Annual Membership Meeting This field is hidden when viewing the formLuncheon with Keynote Presentation (Included in registration fee)*Friday, September 16th, 12:00 – 1:00 p.m. Yes, Attending Luncheon No, Not Attending Luncheon This field is hidden when viewing the formVIP Reception (Included in registration fee)*Thursday, September 5th, 5:00-6:30pm Yes, Attending VIP Reception No, Not Attending VIP Reception Additional Guest Tickets AvailableBringing a guest? Guest tickets may be purchased for an additional fee.Guest(s) Attending Thursday Luncheon (price per guest)*Thursday, September 12th, 12:30 – 1:30 p.m. Yes, Guest(s) Attending Thursday Luncheon, $75 ea. No, Guest Not Attending Thursday Luncheon How many guests will be attending Thursday Luncheon?*1 ticket, $752 tickets, $1503 tickets, $2254 tickets, $300Guest Name(s) that will be attending Thursday Luncheon*Enter each Guest First and Last Name; if more than one separate by semi-colonThis field is hidden when viewing the formGuest/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 No, Guest/Spouse Not Attending Happy Hour & Networking This field is hidden when viewing the formHow 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, $500This field is hidden when viewing the formGuest Name(s) that will be attending Happy Hour & Networking*Enter each Guest First and Last Name; if more than one separate by semi-colonThis field is hidden when viewing the formGuest/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 This field is hidden when viewing the formHow 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, $750This field is hidden when viewing the formGuest Name(s) that will be attending Friday Luncheon*Enter each Guest First and Last Name; if more than one separate by semi-colon This field is hidden when viewing the formContact Hours/CEUs AvailableThis field is hidden when viewing the formContact Hours* Yes, need contact hours certification No contact hours required Included in registration feeThis field is hidden when viewing the formI acknowledge that to receive CEU credit, I must: I acknowledge that to receive CEU credit, I must: Provide valid license information Receive CEU credit only for actual time attended This field is hidden when viewing the formLicense State*This field is hidden when viewing the formLicense Type*i.e. Water, WastewaterThis field is hidden when viewing the formLicense Grade/Level*This field is hidden when viewing the formLicense #*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 Total Registration FeeThis field is hidden when viewing the formSpeaker Registration Discount $0.00 Subtotal $0.00 Total Registration Fee $0.00 Payment InformationPayment Method* Credit Card – 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 Questions 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.CAPTCHANameThis field is for validation purposes and should be left unchanged.