CTWEA Manager’s Forum Registration

CTWEA Manager's Forum

Register to attend the Manager's Forum using this online form on December 11, 2023, Aqua Turf, Plantsville, CT. The Forum will be held from 7:30AM-3:30PM and will include a continental breakfast, breaks and lunch buffet. Earn 5.5 Training Contact Hours (TCHs) for CT operators.

View the Program Flyer Here

Organization/Company/Town/WPCA(Required)

Billing Contact Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Contact Phone(Required)

Billing Contact Email(Required)

REGISTRATION

Registration Type(Required)

Hidden

Registration Type (old)

Exhibitor Name #1(Required)

First Last

Exhibit registration includes one complimentary registration.

Exhibitor Email #1(Required)

Would you like to register a second exhibitor?(Required)

Yes

additional fees required

Exhibitor Name #2(Required)

First Last

Exhibitor Email #2(Required)

Exhibit Registration Fees(Required)

Member Registration - $99

Registration & Associate Membership - $199

Non Member Registration - $140

Associates Membership is for consulting engineers, vendors and other supporting professionals.

Attendee Information

Please provide names and email addresses for each attendee. Each person will need to register separately especially to receive credit for TCHs.

Attendee Name #1(Required)

First Last

Attendee Email #1(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 (must be a 22-23 member)

Register for the forum and renew your membership at the same time. Municipal Memberships are reserved for a municipality, WPCA board of directors, city/town or regulators within the State of CT. Associates Membership is for Consulting engineers, vendors and other supporting professionals. If you have a current 2022-2023 membership, your membership will be automatically extended.

Would you like to register a second attendee?(Required)

Yes

Attendee Name #2(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a third attendee?(Required)

Yes

Attendee Name #3(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a fourth attendee?(Required)

Yes

Attendee Name 4(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a fifth attendee?(Required)

Yes

Attendee Name 5(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a sixth attendee?(Required)

Yes

Attendee Name 6(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a seventh attendee?(Required)

Yes

Attendee Name 7(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a eighth attendee?(Required)

Yes

Attendee Name 8(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Hidden

Is Attendee #8 a member?(Required)

Would you like to register a ninth attendee?(Required)

Yes

Attendee Name 9(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Hidden

Is Attendee #9 a member?(Required)

Would you like to register a tenth attendee?(Required)

Yes

Attendee Name 10(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Hidden

Is Attendee #10 a member?(Required)

Would you like to register a 11th attendee?(Required)

Yes

Attendee Name 11(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a 12th attendee?(Required)

Yes

Attendee Name 12(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a 13th attendee?(Required)

Yes

Attendee Name 13(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a 14th attendee?(Required)

Yes

Attendee Name 14(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to register a 15th attendee?(Required)

Yes

Attendee Name 15(Required)

First Last

Email(Required)

Select an option(Required)

Member Registration - $99

Registration & Municipal Membership - $119

Registration & Associate Membership - $199

Non Member Registration - $140

Speaker - complimentary

Signature Sponsor/Member - $99 & must be a 22-23 member

Would you like to sponsor?

Hidden

(OLD) Would you like to sponsor?

Workshop Sponsor - $550

Break Sponsor - $250

Door Prize Gift Card - $25 each

Gift Card (Required)

Price: $25.00

Dietary Restrictions

Please inform us if there are any dietary restrictions.

Payment Information

Total Amount Due

Payment Method(Required)

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Make checks payable to CTWEA and mail to: CTWEA ℅ NEWEA 10 Tower Office Park, Suite 601 Woburn, MA 01801 Contact: mail@newea.org if you need a W-9

Purchase Order #

please enter a purchase order #

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CTWEA Manager’s Forum Registration