SEDA Workshop Registration – Operating and Troubleshooting Membrane Systems – Oct. 13, 2016 October 13, 2016 | 8:00 a.m. - 5:00 p.m. | Chesapeake, VA | Northwest River WTP RegistrantSalutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*Company*Job Title*Address*City*State*Zip/Postal Code*Country*Telephone*CellFaxEmail* Email Notifications*Yes, I authorize receiving publication email notificationsNo, I would not like to receive publication email notifications (opt-out)Authorization for receiving publication email notification from SEDA. (applies to all email addresses on this form)Website Special Needs Food Allergies (describe in comments) Gluten Free Meals Halal Meals Vegan Meals Vegetarian Meals Wheelchair Access Other (describe in Comments) License #License StateLicense TypeLicense Grade Workshop RegistrationRegistration and Payment in full must be received to reserve your space: (No Exceptions)Workshop Registration*SEDA Members, $150Non-Members, $250Non-Members - Contact SEDA if interested in joining prior to registering for this event or click here to apply now. Total Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck - Online PaymentCheckInvoiceIf paying by check, make payable to: Southeast Desalting Association, and mail to: 2409 SE Dixie Hwy., Stuart, FL 34996. Comments/QuestionsIf you would like a copy of the invoice/receipt sent to another*Yes, send copy of invoice/receipt to:No, don't need a copy sentIf yes, you would like a copy of the invoice/receipt sent to another other than the attendee please enter information below.Name* First Last Email Address* Comments Cancellations/RefundsWritten cancellation requests received by the Southeast Desalting Association (SEDA) at least 5 days before a scheduled event will receive a refund, less a $50 administrative processing fee. Full payment is required if the request is received less than 5 days of the scheduled event and no refund will be available. A credit may be issued less a $25 recordkeeping fee towards a future event provided that it is redeemed within 12 months of the credited scheduled event. The credit will be forfeited if not used within the 12 months timeframe. A substitution of the registrant may be made any time without cost up to the date of the event. The requested amount of a refund or credit must exceed their respective administrative processing fees as described above in order to be considered. SEDA reserves the right to make changes to the scheduled event including but not limited to changing the event location, scheduled date(s), program and speakers, or to cancel the event in its entirety when conditions beyond its control prevail. If the event is cancelled, SEDA’s liability is limited to providing a full refund of the fees paid toward the scheduled event. Final Step of Application ProcessPlease enter the letters displayed below to complete your application and then click Submit.CAPTCHA
