ONLINE REGISTRATION

Please use this form to register for TRUST2015. Payment will only be done by bank transfer. After submitting this form, you will receive an invoice from IWW, based on the registration rate that applies for you, and all necessary details for bank transfer. Your registration will only be considered valid after we have received the complete fee.

Please consider joining the International Water Association IWA to benefit from membership and the reduced registration fee. If you decide to do so, the IWA membership fee will also be part of the invoice you are going to receive by IWW.

Early bird rates apply for registration and receipt of full payment by the organisers before 1 February.


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DELEGATE DETAILS
TREATMENT
( Dr. / Mr. / Ms. / ... )
FAMILY NAME
FIRST NAME
ORGANIZATION
POSITION IN ORGANIZATION
STREET/PO BOX
CITY
STATE
POST CODE
COUNTRY
IWA MEMBER NO.
PHONE
FAX
MOBILE
E-MAIL
CONFIRM E-MAIL
 
INVOICING ADDRESS (if different from above)
STREET/PO BOX
CITY
STATE
POST CODE
COUNTRY
 
PROFESSIONAL PARTICULARS
TYPE OF ORGANIZATION
SPECIFY TYPE (if other)
PRIMARY WORK ROLE
SPECIFY WORK ROLE (if other)
 
CONFERENCE REGISTRATION FEE
TYPE OF REGISTRATION
FEE
* The reduced fee applies for up to of two participants per TRUST partner organization. For any additional participant from TRUST partner organisations the regular registration rates apply.
 
IWA MEMBERSHIP FEE
I come from a low-income country
TYPE OF IWA MEMBERSHIP
FEE
 
SIDE EVENTS AND SPECIAL REQUIREMENTS
I will participate in the Conference Dinner on 28 April
DIETARY REQUIREMENTS
I will NOT participate in the Conference Dinner on 28 April (no refund)
I will participate in the Technical Tour “Emscher Conversion” on 30 April (fully booked)
Please send me a letter to support my visa application. I understand that I will only receive such a letter when the organisers have received my full conference fee
After the conference, I will need a certificate documenting my attendance at the conference
 
PRIVACY
As a result of your participation in this event the details you have provided will be on the IWA database. We respect your privacy and will remove your details from the database if you ask us to. After the event we would like to send you information on future related conferences, seminars and exhibitions. If you do NOT wish to receive this information please tick here
I do NOT agree that my details can be included in a list of participants for distribution at the conference, and that photos taken of me during the conference by the organisers may be published
 
VERIFICATION
CHARACTERS
Please type the characters you see in the image
The image contains six characters and is case sensitive
 
I have read and accept the Terms & Conditions