Out-of-Province 2024 Water Staff Registration Please fill out this form with the information of the person attending the event. Name * First Name Last Name Job Title * Email * Employer - Band or Tribal Council Name * Cell Phone * (###) ### #### Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How many CEUs do you need? * 0 0.2 (2 hours) 0.4 (4 hours) 0.6 (6 hours) 0.8 (8 hours) 1.0 (10 hours) For how many nights do you require a hotel room? * 0 1 2 3 Do you have any special dietary requirements? Please list them. Are you interested in having instruments calibrated and/or serviced by ClearTech during the conference? Deadline to select this option is September 6. * If yes, ClearTech will contact you with more information. Yes No Media Release * I am aware that pictures and videos will be taken at this event and may be shared on social media or within promotional material. Membership * Note that membership is free for water systems operators and others who are involved in the provision of services related to water and/or wastewater services for First Nations communities and employed by or for a First Nation organization. Regular membership will commence upon acceptance of this application. I am aware that registering for this conference is consenting to become a member of SFNWA. Thank you!
