Name (Primary Contact Person)*
Is this person registering for the Conference?* Yes, and this person is a member
Yes, and this person is not a member
No, this person is only going to dinner(s)
The Meet the Suppliers Dinner (Wednesday) is now fully booked, sorry.
The Conference & Awards Dinner (Thursday) is now fully booked, sorry.
Is this person going on the Waste Water Treatment Plant tour?* yes no
Will this person participate in a team for the Operators' Competitions?* yes no
Name 2
Is this person registering for the Conference? Yes, and this person is a member
Yes, and this person is not a member
No, this person is only going to dinner(s)
The Meet the Suppliers Dinner (Wednesday) is now fully booked, sorry.
The Conference & Awards Dinner (Thursday) is now fully booked, sorry.
Is this person going on the Waste Water Treatment Plant tour? yes no
Will this person participate in a team for the Operators' Competitions? yes no
Name 3
Is this person registering for the Conference? Yes, and this person is a member
Yes, and this person is not a member
No, this person is only going to dinner(s)
The Meet the Suppliers Dinner (Wednesday) is now fully booked, sorry.
The Conference & Awards Dinner (Thursday) is now fully booked, sorry.
Is this person going on the Waste Water Treatment Plant tour? yes no
Will this person participate in a team for the Operators' Competitions? yes no
Name 4
Is this person registering for the Conference? Yes, and this person is a member
Yes, and this person is not a member
No, this person is only going to dinner(s)
The Meet the Suppliers Dinner (Wednesday) is now fully booked, sorry.
The Conference & Awards Dinner (Thursday) is now fully booked, sorry.
Is this person going on the Waste Water Treatment Plant tour? yes no
Will this person participate in a team for the Operators' Competitions? yes no
Name 5
Is this person registering for the Conference? Yes, and this person is a member
Yes, and this person is not a member
No, this person is only going to dinner(s)
The Meet the Suppliers Dinner (Wednesday) is now fully booked, sorry.
The Conference & Awards Dinner (Thursday) is now fully booked, sorry.
Is this person going on the Waste Water Treatment Plant tour? yes no
Will this person participate in a team for the Operators' Competitions? yes no
Organisation*
Does this organisation wish to participate in the WIOG/Ixom Water Taste Test?* yes no
Postal Address*
Phone (landline or mobile)*
Email confirmation to*
Email invoice to
Purchase order number
Sorry, credits cards cannot be accepted. An invoice, with direct credit details, will be sent upon receipt of this form.
 
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