WARWS Conference Registration

WARWS
PO Box 1750
Glenrock, WY 82637
Phone 307.436.8636
Fax 307.436.8441 WARWS@WARWS.COM
© 2006 - 2012 WARWS
Design and Updates By:
Waves Web Design

2012 Spring Training Conference

April 17th - 20th, 2012 Parkway Plaza Hotel & Convention Center

123 West "E" Street, Casper WY (800) 270-7829
www.parkwayplaza.net Rate: $65

Submit a separate form for each registration.

* REQUIRED

Name for Badge *

Your System or Company *
5 Digit Operator ID# *
To obtain your new 5 digit OpID: Click Here. If you do not have an Operator ID#, complete a “Designation of New Operator” form: Click Here. and Fax to DEQ at: (307) 777-6779. If not seeking certification - n/a

Your Title or Position *

Daytime Phone Number*
Billing Address *
City, State Zip *

Please Bill my Employer
I will Pay with Credit Card (after filling out this form the next page will have a spot to pay online)

Email Address *
Confirm Email Address *

FULL REGISTRATION April 17th – 20th
(Includes all technical sessions, Exhibit Hall, and meals)

Member –Early Bird By 3/15/12 - $275
Member –After 3/15/12 - $325
Non-Member – With new Individual Membership through 12/31/12 $400
Non-Member $500
Decision Maker / Clerk $125

Complimentary Banquet Thursday
Do you plan to attend the complimentary banquet Thursday evening TYPE yes or no *
Banquet provided at no cost to attendees. Seating limited to first 325 reservations

Type yes or no. I plan to bring a water sample for the taste test contest. *

Special Registrations if attending one or two days only

DO NOT USE IF FULL REGISTRATION IS ALREADY CHECKED!

(please put in the quantity for each below, 1, 2, 3 etc.)
Tuesday only: (classes, Exhibit Hall) Member $75 each
Tuesday only: (classes, Exhibit Hall) Non -Member $100 each
Wednesday only: (classes, lunch, Exhibit Hall, Game Night) Member $135 each
Wednesday only: (classes, lunch, Exhibit Hall, Game Night) Non - Member $150 each
Thursday only: (classes, lunch, Exhibit Hall, Banquet) Member $135 each
Thursday only: (classes, lunch, Exhibit Hall, Banquet) Non - Member $150 each
Friday only: (buffet breakfast, classes) Member $100 each
Friday only: (buffet breakfast, classes) Non - Member $125 each

Additional meal tickets, for guests, will be available at the Registration Booth

NO REFUNDS after 3/15/12. Amounts credited to future events.

PAYING ONLINE WITH A CREDIT CARD
Please note: after submitting this form you will be directed to a thank you page.
On that page there will be a Iframe containing our online store. Select the products
you signed up for above to be added to the " shopping cart" once you have
all your products then hit "checkout".

If you have any questions don't hesitate to call us @ 307-436-8636.

Comments/Questions:


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		WARWS PO Box 1750 Glenrock, WY 82637 Phone 307.436.8636 Fax 307.436.8441 WARWS@WARWS.COM © 2006 - 2012 WARWS Design and Updates By: Waves Web Design


	2012 Spring Training Conference April 17th - 20th, 2012 Parkway Plaza Hotel & Convention Center 123 West "E" Street, Casper WY (800) 270-7829 www.parkwayplaza.net Rate: $65 Submit a separate form for each registration. * REQUIRED Name for Badge * Your System or Company * 5 Digit Operator ID# * To obtain your new 5 digit OpID: Click Here. If you do not have an Operator ID#, complete a “Designation of New Operator” form: Click Here. and Fax to DEQ at: (307) 777-6779. If not seeking certification - n/a Your Title or Position * Daytime Phone Number* Billing Address * City, State Zip * Please Bill my Employer I will Pay with Credit Card (after filling out this form the next page will have a spot to pay online) Email Address * Confirm Email Address * FULL REGISTRATION April 17th – 20th (Includes all technical sessions, Exhibit Hall, and meals) Member –Early Bird By 3/15/12 - $275 Member –After 3/15/12 - $325 Non-Member – With new Individual Membership through 12/31/12 $400 Non-Member $500 Decision Maker / Clerk $125 Complimentary Banquet Thursday Do you plan to attend the complimentary banquet Thursday evening TYPE yes or no * Banquet provided at no cost to attendees. Seating limited to first 325 reservations Type yes or no. I plan to bring a water sample for the taste test contest. * Special Registrations if attending one or two days only DO NOT USE IF FULL REGISTRATION IS ALREADY CHECKED! (please put in the quantity for each below, 1, 2, 3 etc.) Tuesday only: (classes, Exhibit Hall) Member $75 each Tuesday only: (classes, Exhibit Hall) Non -Member $100 each Wednesday only: (classes, lunch, Exhibit Hall, Game Night) Member $135 each Wednesday only: (classes, lunch, Exhibit Hall, Game Night) Non - Member $150 each Thursday only: (classes, lunch, Exhibit Hall, Banquet) Member $135 each Thursday only: (classes, lunch, Exhibit Hall, Banquet) Non - Member $150 each Friday only: (buffet breakfast, classes) Member $100 each Friday only: (buffet breakfast, classes) Non - Member $125 each Additional meal tickets, for guests, will be available at the Registration Booth NO REFUNDS after 3/15/12. Amounts credited to future events. PAYING ONLINE WITH A CREDIT CARD Please note: after submitting this form you will be directed to a thank you page. On that page there will be a Iframe containing our online store. Select the products you signed up for above to be added to the " shopping cart" once you have all your products then hit "checkout". If you have any questions don't hesitate to call us @ 307-436-8636. Comments/Questions: