	USA INTER-AMERICAN ASSOCIATION OF SANITARY ENGINEERING AND ENVIRONMENTAL SCIENCES VII REGIONAL CONFERENCE – REGION I
EMERGING TECHNOLOGIES FOR SUSTAINABLE ENVIRONMENTAL QUALITY March 28-31 2006, Chicago, Illinois INDIVIDUAL REGISTRATION FORM

1. To be eligible for the early registration discount, this form and payment must be received by ~~March 3, 2006~~. March 13, 2006 (the deadline for early registration has been changed to March 13).

2. Non-member registration fee includes membership in USAIDIS for 2006.

3. After we receive your registration, we will email confirmation to you. Nonetheless, for your own records, after filling out the following form, and before clicking the "submit" button at the bottom of the form, you may want to print it.

4. Please note that all of our functions, INCLUDING THE AWARDS LUNCH will be held in the Donald E. Stephens Conference Center, near the Chicago O'Hare Airport.

Name:

Title (Ms., Mr., Dr., Ing., etc.):

Name to appear on conference Identification Badge:

Company/Affiliation

Email (VERY IMPORTANT):

Phone number

Mailing Address:

Number and Street (or P.O. Box)

City: State/Province:

Zip Code Country:

Are you a member of AIDIS?

If you are a member, please indicate: Country of membership:

Will you bring a spouse or guest?

If yes, name of spouse or guest as it should appear on their Identification Badge:

Note: Spouses/Guests will be admitted to technical and general sessions, exhibits, exhibitor training seminars and the

exhibitors’ reception. Tickets are required for special events.

Indicate your conference registration selection by clicking the appropriate boxes:.

PRE-CONFERENCE TRAINING SESSIONS

Please indicate your selection (if any) in the right column.

Notes: Although the pre-conference training sessions are free, it would be appreciated if those interested

would register for them, in order to help us with preparations and planning.

Also please note that professionals who attend these training sessions will be eligible for CEU's.

Tickets for Pre-Conference Training Sessions on Tuesday, March 28th		Attending
Training Session 1: Decentralized Water Systems (Parts A & B) – National Environmental Services Center (NESC) -- 8 AM - 12:15 PM	free
Training Session 2: Managerial, Operational and Maintenance Best Practices for Sustainable Water Services in Small and Medium Size Systems Francois Brikké, Regional Team Leader WSP/World Bank - 10:15 AM - 12:15 PM	free
Training Session 3: Small and Medium Size Drinking Water Systems Technology: EPA’s Research Program (Parts A & B) US Environmental Protection Agency (USEPA) -- 1:15 PM - 5:30 PM	free
Training Session 4: Decentralized Wastewater Systems (Part A) National Environmental Services Center (NESC) -- 1:15 PM - 5:30 PM	free

Full Conference Registration

If you will attend the full conference, then please check the appropriate boxes in the following table:

Full Conference Registration Includes USAIDIS opening, USAIDIS & WQA technical & general sessions, USAIDIS Banquet and Awards Ceremony, exhibits, exhibitor training seminars, exhibitors’ reception, and technical tour	Member	Non-member (price includes membership for 2006)	Speaker	Student
*Indicate if you will be attending these events*	$290 by March 13. $320 after March 13.	$350 by March 13. $380 after March 13.	$250	$170 by March 13. $200 after March 13.
Wed 3/29 Exhibitors’ Reception
Wed 3/29 USAIDIS Opening Session
Thurs 3/30 USAIDIS Banquet & Awards Ceremony
Fri 3/31 Technical visit

If you are registering for the full conference (and have indicated this above), then you should skip to near the bottom of this page, read the notes in red that are just above the "Submit" button, and then click the "Submit" button. You may skip to that point in the form by clicking here. Otherwise, please respond to the questions below.

Single Day Registration

Single Day Registration Includes all full registration events except USAIDIS Banquet and Awards Ceremony	Member	Non-member (price includes membership for 2006)	Speaker	Student
*Indicate if you will be attending these events*	$130 by March 13. $150 after March 13.	$190 by March 13. $210 after March 13.	$80.	$47 by March 13. $55 after March 13.
Wed 3/29 USAIDIS Opening Session
Wed 3/29Exhibitors’ Reception

SPECIAL EVENTS REGISTRATION FOR THOSE REGISTERING FOR ONLY A SINGLE DAY:

Tickets for Special Events and Events not included with Single Day Registration
Thursday 3/30: USAIDIS Banquet and Awards Ceremony (lunch)	persons @ $50 each
Friday 3/31: Technical Visit Chicago Water and Wastewater Facilities	persons @ $45 each

BEFORE CLICKING THE "SUBMIT" BUTTON BELOW, PLEASE ADD UP THE TOTAL AMOUNT THAT YOU ARE TO PAY USAIDIS, AND MAKE A NOTE OF THIS AMOUNT. Also, fill in this amount here:

Total amount that I am to pay USAIDIS:

Information about Hotel Reservations will appear after you click the "Submit" button.

Method of Payment:

Note: Persons residing outside of the U.S.A., may have their payment fully refunded in the event that they do not receive a visa on time to attend the conference, if they inform us of this prior to the start of the conference.

Please use the following box for any question or message that you might want to send together with this registration form:

PRE-CONFERENCE TRAINING SESSIONS

Tickets for Pre-Conference Training Sessions on Tuesday, March 28th

Speaker

Tickets for Special Events and Events not included with Single Day Registration