51st Annual TWQA Convention & Exposition – Additional Exhibitor Information Venue: Kalahari Resorts & Conventions | Round Rock, TX HiddenExhibit Type* Tabletop 8×10 10×10 Instructions As an Exhibitor, your company receives complimentary Exhibit Hall access and depending on your exhibit space, an Awards Banquet, Lunch and Raffle tickets. This form is designed to capture information about your company representative. Optionally, you may also register & pay for their participation in the Golf Tournament and other Fun Events if you choose. Instructions As a 6′ Tabletop Exhibitor, your company receives complimentary Exhibit Hall access, 1 Lunch Ticket and 1 Raffle Ticket. This form is designed to capture information about your company representative. Optionally, you may also register & pay for their participation in the Golf Tournament and other Fun Events if you choose. Instructions As an 8’x10′ Booth Exhibitor, your company receives complimentary Exhibit Hall access, 1 Awards Banquet Ticket, 1 Lunch Ticket and 1 Raffle Ticket. This form is designed to capture information about your company representative. Optionally, you may also register & pay for their participation in the Golf Tournament and other Fun Events if you choose. Instructions As a 10’x10′ Booth Exhibitor, your company receives complimentary Exhibit Hall access, 2 Awards Banquet Tickets, 2 Lunch Tickets and 2 Raffle Tickets. This form is designed to capture information about 1 of your company representatives. Optionally, you may also register & pay for their participation in the Golf Tournament and other Fun Events if you choose. Date MM slash DD slash YYYY Attendee InformationPlease refrain from using all caps/uppercase letters.Salutation*Mr.Mrs.Ms.Dr.First Name* Last Name* Job Title* Company* Address* City* State*Not Applicable, InternationalALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip/Postal Code* Country*USAAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone* Cell Email* Website Industry Type*EngineerOther ResearcherPolicymakerRegulatorStudentUniversity/ProfessorWater Developer/FinancierWater PlannerWater UtilityGovernmentManufacturerConsultantSupplierAssociationOther, type belowOther Industry Type* Billing Contact InformationIf different than contact above, please check the box and enter required information.Billing Contact Please send copy of the invoice/receipt to Billing Contact Billing Contact Name* Billing Contact Email* Billing Contact Phone* Convention Registration Options TWQA Member?*If not a TWQA member, Join Now for Member discounted rates. Yes No Golf TournamentPlaying in the Golf Tournament?* Yes No Early Golf Registration Quantity*Includes Green Fees, Cart, Range Balls, 2 Drink Tickets, Lunch, Golf Shirt & Golf Hat Price: $170.00 Quantity Golf Registration Quantity*Includes Green Fees, Cart, Range Balls, 2 Drink Tickets, Lunch, Golf Shirt & Golf Hat Price: $180.00 Quantity Names of Golfers You Want to Play With Golf Shirt SizeNoneSmall (S)Medium (M)Large (L)X-Large (XL)XX-Large (XXL)XXX-Large (XXXL) Fun Event & Extra TicketsSpouse/Children/Guest Attending?* Yes No Spouse/Children/Guest Names* Early Extra Banquet Ticket – Adult (Member) Quantity Price: $130.00 Quantity Early Extra Banquet Ticket – Adult (Non-Member) Quantity Price: $200.00 Quantity Extra Banquet Ticket – Adult (Member) Quantity Price: $150.00 Quantity Extra Banquet Ticket – Adult (Non-Member) Quantity Price: $250.00 Quantity Early Child Banquet Ticket (17 and under) (Member) Quantity Price: $60.00 Quantity Child Banquet Ticket (17 and under) (Member) Quantity Price: $70.00 Quantity Early Child Banquet Ticket (17 and under) (Non-Member) Quantity Price: $120.00 Quantity Child Banquet Ticket (17 and under) (Non-Member) Quantity Price: $140.00 Quantity Early Fun Networking Event – Baseball Game Quantity Price: $80.00 Quantity Fun Networking Event – Baseball Game Quantity Price: $100.00 Quantity Early Child Fun Networking Event – Baseball Game QuantityChildren under the age of 6 are free. Price: $25.00 Quantity Child Fun Networking Event – Baseball Game QuantityChildren under the age of 6 are free. Price: $25.00 Quantity Spouse and Child Attending the Breakfast Social?* Yes No Early Spouse and Child (17 and under) Breakfast Social Quantity* Price: $80.00 Quantity Spouse and Child (17 and under) Breakfast Social Quantity Price: $100.00 Quantity Breakfast Social Child Shirt (Optional)*If more than 1 child attending and requiring multiple size shirts, use the Comments field to clarify how many of what size.NoneSmall (S)Medium (M)Large (L)X-Large (XL) Total Registration FeeTotal Registration FeeRate will populate once a selection is made above. $0.00 Payment InformationPayment Method* Credit Card – Online Payment eCheck (Bank Wire w/o processing fee) – Online Payment Check Invoice None – Not Applicable Make checks toMake checks payable to:Texas Water Quality Association (TWQA)2109 Luna Rd., Suite 100Carrollton, TX 75006-6437 Jo Grace Scholarship DonationIf you would like to make a donation to the Jo Grace Scholarship fund click here. 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