WQA Members

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

SPECIAL REGISTRATION FORM FOR WQA MEMBERS

WQA members who are registered to attend the WQA Aquatech 2006 Conference, are invited to attend sessions of the Regional Conference of the Inter-American Association of Sanitary Engineering and Environmental Sciences (AIDIS)

AT NO COST (with the exception of pre-conference training sessions, the awards banquet, and the field trip, which involve additional fees).

Please use the navigation bars to the left to review the conference program, and then return here to register.

If you wish to attend a pre-conference training session, then you MUST fill out the following form to register and pay for it.

If you do NOT wish to attend a pre-conference training session, you will be permitted to attend other sessions without prior registration. However, in spite of this, in order to assist with our planning, we would be grateful if those who intend to attend other sessions, would kindly fill out the following registration form (no payment will be required for those not attending pre-conference training sessions, nor the banquet, nor the field trip).

Please note that all of our functions, will be held in the Donald E. Stephens Conference Center, near the Chicago O'Hare Airport (same as the WQA Aquatech 2006 Conference).

Name:

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

Company/Affiliation

Email (VERY IMPORTANT):

Phone number

Country you reside in:

Are you a member of AIDIS?

If you are an AIDIS member, please indicate: Country of membership:

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

Tickets for Pre-Congress 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	$65
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	$65
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	$65
Training Session 4: Decentralized Wastewater Systems (Part A) National Environmental Services Center (NESC) -- 1:15 PM - 5:30 PM	$65
Discount for registering for two sessions	-$15
Ticket for USAIDIS Banquet and Awards Ceremony, Thurs, Mar. 30
USAIDIS Banquet and Awards Ceremony, including lunch	$50
Ticket for field trip on Friday, March 31st
Technical Visit Chicago Water and Wastewater Facilities	$45

Note: If you answered "No" to all of the above, then it will be assumed that you only wish to attend some of the conference sessions on March 29-30, at no cost to those participating in the WQA Aquatech 2006 Conference.

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:

Method of Payment:

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

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

No payment is due Credit card via the Internet Credit card via fax Check that will be mailed Other (explain with note in box below)