IWWA Annual Conference Registration by Credit Card

This online form is to register ONE ATTENDEE, and their guest if applicable, with payment by Credit Card. Each attendee must be REGISTERED SEPERATELY.

(If you would like to pay by check click here)

For details download the complete Conference Registration and Program Agenda.

Register by January 15, 2019 for the Early Bird rates! ~ A $50.00 processing fee will be withheld for cancellations received prior to the early registration deadline. No refunds for cancellations will be made after Janaury 20. Attendee substitutions may be made at any time. Attendee substitutions may be made at any time.

Be sure to click the "Submit Registration" button at the bottom.

Registrant's Name*

First NameLast Name

Registrant's Company

Registrant's E-mail:*

For the Confirmation / Receipt

Registrant's Phone*

Area CodePhone Number

Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code

Attending on Thursday*

YesNo

Thursday 8:30-9:05 am

Select Track/Program for this Time

Thursday 9:10-10:00 am

Select Track/Program for this Time

Thursday 10:05-11:00 am

Select Track/Program for this Time

Thursday 11:05-11:45 am

Select Track/Program for this Time

Thursday 2:20-4:00 pm

Select Track/Program for this Time

Thursday 4:00-4:50 pm

Select Track/Program for this Time

Thursday IWWA Networking Dinner & Scholarship Auction in Exhibit Hall - (5:00-7:00 pm)*

Will attend myselfWill attend with guestWill not attend

Guest's/Spouse Name (If signing them up for the full spouse program or the IWWA Dinner/Auction ONLY. Must select either option in the registration selections below)

First NameLast Name

Attending on Friday*

YesNo

Friday 8:00 am - 9:00 am

Select Track/Program for this Time

Friday 9:10-10:10 am

Select Track/Program for this Time

Friday 10:30-11:30 am

Select Track/Program for this Time

Please list any special needs or dietary issues:

Full Conference registration (all days) includes education sessions, trade show admission, all meals and networking breaks. ~ One-Day Only Registrantions includes education sessions, trade show admission, networking breaks and meals for that day only.

If you plan to bring a guest to the reception and/or banquet, please submit their name in the field provided above and select the payment information below. See "Extra Meal Tickets" below, if applicable.

REGISTRATION SELECTIONS

FULL CONFERENCE Registration (Includes ALL meals, trade show, education sessions and networking breaks)$145.00

SELECT Registration Details
Item subtotal:$0.00

Spouse/Companion Full Registration (Includes Outlets of Des Moines shopping & Thursday IWWA Networking Dinner & Auction) $75$75.00

SELECT Registration Details

Iowa County Sanitarians (Includes all meals, trade show, education sessions and networking breaks) $90 $90.00

SELECT Registration Details
Item subtotal:$0.00

Spouse/Companion Dinner/Auction Only Registration (Includes Thursday IWWA Networking Dinner & Auction Only)$50.00

SELECT Registration Details

THURSDAY ONLY Registration (Includes meals, trade show, education sessions and networking breaks on THURSDAY ONLY)$95.00

SELECT Registration Details
Item subtotal:$0.00

FRIDAY ONLY Registration (Includes education sessions, trade show, meals and networking breaks on Friday Only)$65.00

SELECT Registration Details
Item subtotal:$0.00

Total $0.00

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

After clicking (just once!) the "Submit Registration" button below, you will know your submission is successful when you see the "Thank you for registering!" page. - Then, please check your e-mail for the Confirmation/Receipt including a link to a printer-friendly PDF copy of your registration. (E-mail info@iwwa.org or call 515.284.7055 with any difficulties.)

IWWA 2019 Annual Conference Registration By Credit Card

Thursday, Jan. 31, 2019 ~ Program Attendance

Friday, February 1, 2019~ Program Attendance

Registration Fees