74th Michigan Onsite Wastewater Conference

Speaker Registration

Required fields are indicated with an asterisk (*)

Name & Address

* First Name

* Last Name

* Company / Organization

Country

* Cell Phone Number

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Registration

I would like to register for the Michigan Onsite Wastewater Conference * Full Conference (January 6-7) Single Day Registration - Tuesday, January 6 Only Single Day Registration - Wednesday, January 7 Only I plan to only attend my session

Special Dietary Needs: If you indicate an allergy, please specify if it's ingested or airborne. Please provide as much information as possible about your restrictions so that we can appropriately meet your needs.

Do you plan to attend the social hour on Tuesday, January 6 from 4-5:30 p.m.?

* If the conference is able to provide a modest honorarium, are you able to accept it?

If you indicated yes above, please provide your mailing address:

Contact Information

For information, contact ANR Event Services at braidbet@msu.edu or 517-884-7081.