Payment for Spring Training Conference

Please enter information on this form to make payment for Spring Training Conference . The amount you need to pay is $0.00 .

Contact Information

Full Name *

Name for Badge *

Your Employer *

Digital Operator ID # *

Your Title or Position *

Daytime Phone Number *

Email *

Address *

City *

State *

Zip Code *

Personal Address to Receive our Magazine

Email for receiving Notifications *

Registration

Registration Type *

--Select-- Full Registration Per-day Registration I plan to attend only the Pre-Conference on the 18th (No Fee)

Full Registration

(Includes Pre-Conference, all classes, Exhibit Hall, meals, and Certification processing)

Registration type - select all that apply

Full Registration Member - $445

Full Registration Non-Member, including a new Individual Membership through 12/31/23 - $570

Decision Maker - $150

I plan to attend only the Pre-Conference (No Fee)

Water sample for the Contest

Yes

No

One-day only registrations

Wednesday

None

Member - ($250)

Non-Member - ($275)

Thursday

None

Member - ($225)

Non-Member - ($250)

Friday

None

Member - ($155)

Non-Member - ($185)

MISC

Comment

Total Amount

$

How Will You Pay for Registration? *

Paypal - Dont have to be a member (You can use your Credit and Debit cards)
Please invoice my employer

Billing Zipcode*

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033

Card (CVV) Code*

Card Type*

Visa MasterCard Discover American Express

Card Holder Name*

Verification code*

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