Name (as it should appear on badge):
Company Name:
Position/Title:
Street Address:
City:	State:                    Zip Code:
Phone: (xxx) xxx-xxxx	Fax: (xxx) xxx-xxxx WWA/AWWA Member #:
Email Address:
Spouse/Guest Name (if attending):
Registration Information:	Select Type Water Utility Manager/Supervisor Certified Water Supply Operator Water Utility Board/Commission Member Other Water Utility Staff Member Consulting Firm Staff Member Manufacturer/Vendor Other:
I will be attending the MACasino Night on 9/12	Yes No

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If you have special needs, please mark this box & WWA staff will contact you for details:	General Registration (By 8/31/07)	Late Registration (After 8/31/07)
I would like to attend the Full Conference (includes all meals/functions listed in program):	Select Regular $185 Retiree $120 Non-member $235	Select Regular $210 Retiree $145 Non-member $260
Not attending the Full Conference? Select single day sessions and other options below.
I would like to attend Weds. 9/12 only (includes all Weds. meals and functions)	Select Regular $80 Retiree $70 Non-member $105	Select Regular $105 Retiree $95 Non-member $130
I would like to attend Thurs. 9/13 only (includes all Thurs. meals and functions)	Select Regular $100 Retiree $90 Non-member $125	Select Regular $125 Retiree $115 Non-member $150
I would like to attend Fri. 9/14 only (includes all Fri. meals and functions)	Select Regular $60 Retiree $50 Non-member $85	Select Regular $85 Retiree $75 Non-member $110
I am an Exhibitor attending Exhibits only (includes entry to Exhibit Hall, 9/12 lunch, MAC Night, 9/13 breakfast)	$75	$75
I am a Non-Exhibiting Vendor, Consultant, Service Provider paying the mandatory MAC Night Sponsorship Fee:	$85	$85
I am a Student enrolled at least HALF-TIME (includes all meals & functions of each day selected)	Select Weds. $20/day Thurs. $20/day Fri. $20/day	Select Weds. $20/day Thurs. $20/day Fri. $20/day
I am a Spouse/Guest and would like to register for the spouse/guest program events only Covers Programs, Meals, Weds. evening and Reception (Thurs. evening):	$70	$95
I would like to make a voluntary contribution to "Wisconsin Water for the World".	Select Donation Amount $5 $10 $15 $20

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ALL FEES COLLECTED FROM THE ANNUAL MEETING WILL BE USED BY THE WWA FOR THE BENEFIT OF THE WISCONSIN WATER SUPPLY INDUSTRY. Cancellation Policy: No refunds will be issued for cancellation after August 17, 2007. Substitutions will be allowed. All cancellations must be in writing.

PAYMENT BY CREDIT CARD (Submit this secure form, print & fax, or mail it with credit card info Visa, M/C, Discover or Amex:)
Fax to: (414) 423-7011 or Remit with payment to: Wisconsin Water Association, P.O. Box 635, Oak Creek, WI 53154