Groundwater Week Registration Form

Name*

First NameLast Name

You must provide an email address. This is were all communications about the show will be sent and will be the email address used to access the app.

Email*

example@example.com

Company

Will print on all badges.

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact Number:*

Area CodePhone Number

Please read these important notes before proceding:

If you will be entering multiple orders, please close your browser and wait a few minutes before placing your next order. The credit card processor has implemented a safety feature that limits duplicate transaction from taking place in a row. We apologize for this inconvenience.
REFUND POLICY: A $25 cancellation fee per registrant applies to all refund requests made on or before November 3, 2023; no refunds will be issued on or after November 4, 2023.
IF YOU WORK FOR A MANUFACTURING COMPANY THAT IS NOT EXHIBITING AT THIS YEARS SHOW, YOU MUST REGISTER AS A NON-EXHIBITING MANUFACTURER. FAILURE TO PROPERLY REGISTER, MAY BE GROUNDS FOR YOUR REGISTRATION TO BE CANCELLED.

Registration Options

IGSHPA Member$200.00

Price will increase to $300.00 on November 3, 2023.

Nonmember$350.00

Price will increase to $450.00 on November 3, 2023.

Spouse with paid member or nonmember registration$100.00

Please enter spouse's name in space provided on below. Price will increase to $200.00 on November 3, 2023.

Student — full-time $100.00

Price will increase to $150.00 on November 3, 2023.

Child under 17 $ Free

Please be sure to enter all children's names in space provided below. Everyone must have a badge to enter any part of the show.

Quantity

Non-exhibiting manufacturer (1st person from company)$1,200.00

Someone that works for a manufacturing company that is not exhibiting at NGWA or IGSHPA. Price will increase to $1300.00 on November 3, 2023.

Non-exhibiting manufacturer (additional employee)$400.00

Someone that works for a manufacturing company that is not exhibiting at NGWA or IGSHPA. Price will increase to $500.00 on November 3, 2023.

Total $0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Spouse Full Name

If you have selected a spouse pass option

Spouse Email

A unique email will be required for your spouse to access the event app or receive direct communication about the show.

Children Name/s

If you have select the child pass option.

2023 IGSHPA Annual Conference Registration