MsRWA Annual Conference Attendee Information 2024MsRWA Annual Exhibition and ConferenceConference Dates: May 28- May 31, 2024Exposition Dates: May 30 & 31, 2024MS Coast Coliseum & Convention CenterBiloxi, MS You may register online below or download the Attendee Packet from the above link to fax, email, or mail your registration Annual Conference - Attendee Registration Step 1 of 6 16% May 28 - 31, 2024 | Biloxi, MSWater/Wastewater System Attendee Name* First Last Position Water Cert Yes No Cert # Expiration Date MM slash DD slash YYYY Wastewater Cert Yes No Cert # Expiration Date MM slash DD slash YYYY System/Company Name* PWS ID# Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*FaxEmail* Are you or the system you work for a member of MsRWA?* Yes No MsRWA Member #* Member Registration Type* Full Registration - $250 (Exhibit Hall Pass & 2 Shrimp Boil/Fish Fry Passes Included) By The Day Registration - $150 Per Day One Day Exhibit Hall Pass - $100 Non-Member Registration Type* Full Registration - $500 (Exhibit Hall Pass & 2 Shrimp Boil/Fish Fry Passes Included) By The Day Registration - $300 Per Day One Day Exhibit Hall Pass - $200 HiddenRegistration Type* Full Registration By The Day Registration One Day Exhibit Hall Pass HiddenFull Registration (Exhibit Hall Pass & 2 Shrimp Boil/Fish Fry Passes Included)* MsRWA System Member -$250 Non-Member - $500 Per Day Spouse Registration (Exhibit Hall Pass & Shrimp Boil/Fish Fry Pass Included)* Yes, Please add my spouse - $150 No, I do not wish to purchase a spouse registration. Spouse Name for Badge* First Last HiddenBy the Day Registration*(Fee is per Day) MsRWA System Member - $150 Per Day Non-Member - $300 Per Day Which Day* HiddenOne-Day Exhibit Hall Pass: Wednesday, May 30th (No CEU Hours)*There are no training hours with this pass. Member - $100 Non-Member - $200 Total $0.00 Golf Registration Fees(Participants must be registered for full conference, please fill out related forms)Golfing* Yes, We will participate in the golf tournament. No, we will not participate in golf tournament. Hole Sponsor* No, I do not wish to sponsor a hole -$0.00 One Hole Sponsor (Includes 1 Player) -$275 Two Hole Sponsor (Includes 2 Players) - $550 Three Hole Sponsor (Includes 3 Players) - $825 Number of Golfers* Golfer included in Hole Sponsorship One Golfer $110 Two Golfers $220 Three Golfers $330 Four Golfers $440 Golfer's Name* First Last Golfer's Name* First Last Golfer's Name* First Last Golfer's Name* First Last Mulligans ($20/Each)No Mulligans1-Mulligan $202- Mulligans $403 - Mulligans $604 - Mulligans $805 - Mulligans $100 Other Information:Yes, I will be attending the Shrimp Boil/Fish Fry Wednesday, May 29th at Point Cadet Pavilion, Biloxi, MS* Yes, I will be attending the Shimp Boil/Fish Fry No, I will not be attending the Shimp Boil/Fish Fry How many Adults and/or Children Over 5 will be attending the Shrimp Boil/Fish Fry with you?*Full Registration Attendees get 1 Shrimp Boil/Fish Fry ticket plus 1 free ticket for an Adult or Child Over 5 to accompany attendee.Myself OnlyMyself and 1 Guest Over 5Myself and 2 Guests Over 5 (1 Extra Ticket)Myself and 3 Guests Over 5 (2 Extra Tickets)Myself and 4 Guests Over 5 (3 Extra Tickets)Myself and 5 Guests Over 5 (4 Extra Tickets)Myself and 6 Guests Over 5 (5 Extra Tickets)Myself and 7 Guests Over 5 (6 Extra Tickets)Myself and 8 Guests Over 5 (7 Extra Tickets)Myself and 9 Guests Over 5 (8 Extra Tickets)How many Children under 5 will be attending the Shrimp Boil/Fish Fry with you? Quantity*Children under age of 5 are free, we just number for head count. Price: $0.00 Quantity Do you need to purchase Extra Lunch Buffett Tickets?* Yes No What day(s) will you need the Extra Lunch Buffett Tickets?* Thursday, May 30th Friday, May 31st How many Extra Lunch Buffet Tickets for Thursday, May 30th Quantity* Price: $35.00 Quantity How many Extra Lunch Buffet Tickets for Friday, May 31st Quantity Price: $35.00 Quantity Will your System Participate in the Water Taste Contest, May 29th @ Shrimp Boil?* No, My System will not be participating. Yes, I will bring my water to the Shrimp Boil @ 6pm. Please Upload/Fax Water Contest FormMax. file size: 64 MB. Donation to Door Prize SponsorEnter donation amount (optional) Donation to MsRWA Scholarship FundEnter donation amount (optional) Donation to MsRWA RWEAC (Rural Water Emergency Assistance Cooperative)Enter donation amount (optional) Preferred payment method* Pay online w/ credit card Mailing a check Paying On-site Total $0.00 Product Name Quantity Price: $0.00 Quantity CommentsThis field is for validation purposes and should be left unchanged. Δ