74th Michigan Onsite Wastewater Conference

Attendee Registration

Required fields are indicated with an asterisk (*)

Name & Address

* First Name

* Last Name

* Company / Organization

* Address

Addt'l Address

* City

* State

* Country

* Zipcode

* 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

* Please indicate your registration selection

* Do you plan to attend the Soils Training on Wednesday, January 7 If you're not attending on Wednesday or don't plan to attend the soils training, please select "I will not be attending the soils training."

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

* Will you be seeking Continuing Septage Education (CSE) credits? Constinuing Septage Education (CSE) credits are for septage waste business owners who are either getting licensed for the first time or renewing their septage waste license through the Michigan Department of Environment, Great Lakes and Energy (EGLE).

Please indicate if you are a member of any of the following organizations: * Not a member of any organization listed MEHA MSTA MOWRA Other organization not listed

If you selected other above, please indicate the organization.

* Please indicate your primary role:

If you indicated other above for your primary role, please describe here:

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.

Special Accessibility Needs:

Discount Code If you have received a discount code, please enter it here.

Contact Information

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