Iowa Water Well Association Annual Conference Registration by Check

  • IWWA 2019 Annual Conference Registration By Check

    January 31 - Feb. 1. 2019, Prairie Meadows Casino and Hotel, Altoona, IA

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

    ( If you'd prefer to register and pay by credit card CLICK HERE. )

    For details please download the complete Conference Registration and Program Agenda.

    Register by January 15 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.

    Be sure to click the "Submit Registration" button at the bottom, and then print the form to mail in with your check.

  • REGISTRTION INFORMATION

  •  -

  • Thursday, January 31, 2019 ~ Program Attendance

    Click Here to See PDF of Complete Schedule
  • Attending on Thursday*
  • Thursday Dinner & Auction - (5:00-7:00 pm) Join us in the Exhibit Hall for networking, dinner, 50/50 raffle, and scholarship auction. 5:00-6pm dinner, drinks, networking and visiting exhibitors. 6-7pm scholarship auction.*

  • Friday, February 1, 2019 ~ Program Attendance

    Click Here to see PDF of Complete Schedule
  • Attending on Friday*

  • Registration Fees

    Select all registration options that apply

  • Select your registratration below from the appropriate groups - IWWA Member / Non-Member rates, and Early Bird rates by January 15, or late rates after January 15.  

    If you are registering a spouse/companion for any option below include that with your selections and include their name in the above section.

     

  • IWWA MEMBER Rates BY JANUARY 15
  • IWWA NON-MEMBER Rates BY January 15
  • IWWA MEMBER Rates AFTER JANUARY 15
  • IWWA NON-MEMBER Rates AFTER JANUARY 15

  • Please add up the "Total Registration Fee" for this one person's registration and enter the amount below.

    After clicking the "Submit Registration" button below a Confirmation/Receipt e-mail will be sent with a link to a printer-friendly PDF copy of this registration form. Please include a print-out of this form when mailing in the check to the address towards the bottom of the Confirmation/Receipt e-mail.

    Payment for more than one registration may be combined on the same check. Please include a print-out of the registration form for each person.

  • 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. Print a copy of your form to mail in with your payment by check. (E-mail info@iwwa.org  or call 515.284.7055 with any difficulties.)

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