ACE21_Flipbook_6-10 V3 6-10-21 | Page 51

To register , visit www . awwa . org / ACE and submit online or complete this registration form and email , fax or mail to :

Email : service @ awwa . org Fax : 303.347.0804 ( no credit card numbers please ) 6666 West Quincy Ave . Denver , CO 80235-3098
Questions ? Call 1.800.926.7337
ACE21 All Virtual Registration Form Individual Membership #_______________________________ or Company Membership #__________________________________ First Name _____________________________________ MI _______ Last Name __________________________________________________ Company / Organization _________________________________________________ Title __________________________________________ Mailing Address ___________________________________________________ City ________________________________________ State / Province _______________________________ Country _____________________________ ZIP / Postal Code ________________ Primary Phone _______________________ ▢ Home ▢ Work Email ____________________________________________________ Is this a change of address for your AWWA Membership ? ▢ Yes ▢ No
As part of your event registration , personal contact data such as name , address , and email address will be collected and used by AWWA Show Management and approved third-parties affiliates , including sponsors , for ACE21 All Virtual . See AWWA privacy policy for additional information . If you do not wish to receive any emails from online sponsors , you may follow the sponsors opt out or unsubscribe instructions following receipt of an email from them . You will not be able to opt out prior to receiving a n initial email from our ACE21 All Virtual sponsors .
Registration Check the items below for which you are registering
Registration Category
* Eligibility will be verified
Member
Nonmember
▢ A
Full-Conference
$ 395
$ 795
▢ I
Field Operator Full-Conference * ( For AWWA ’ s intent , a field operator is anyone who directly performs operations activities and / or maintenance of water treatment and / or distribution systems or collection systems . Support personnel ( IT , control systems , management , labs , engineering , etc .) are not considered field operators .)
$ 195 $ 795
▢ U Small Utilities Full-Conference ( under 3500 customers )* $ 195 $ 795
▢ H Student Full-Conference $ 45 $ 65
Public Officials Courses These are optional and an additional cost . You must be registered for the conference in one of the above
categories to purchase courses . Public Officials Only .
▢ CRT1
Introduction to Water and Sewer Operating Environments
$ 35
$ 50
▢ CRT2
Water and Sewer Infrastructure , Operations , and Maintenance
$ 35
$ 50
▢ CRT3
Is Your Water Safe To Drink ?
$ 35
$ 50
▢ CRT4
All Three Courses : Attendees earn an AWWA Public Officials Certificate
$ 95
$ 140
TOTAL $ $
How did you find out about AWWA ’ s ACE21 All Virtual event ? ( please circle only one – Required )
A . I have attended in the past B . AWWA website C . Email Promotion D . Direct Mail
E . Social Media ( Facebook , LinkedIn , Twitter ) F . Digital Ads on the Internet G . Journal AWWA and / or Opflow H . Word of Mouth
I . From my Section J . Another trade show K . Exhibitor referral / invitation / mailing / email