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HomeMy WebLinkAbout155777 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 155108 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECT AWWA CARMEL, INDIANA 46032 ATTN JEFF PETERS CHECK AMOUNT: $1,360.00 PO BOX 534 CHECK NUMBER: 155777 NASHVILLE IN 47448 CHECK DATE: 1/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 11408 1,360.00 OTHER EXPENSES r Se� 100th Annual Mee tin 6 SECTION A Marriott Hotel Indianapolis, IN rating- 19- 212008 :YeatS,of.Serrrce February t er WorkS R E G I S T R ATI0N FORM 1 �1 UTILITY /OPERATOR /GOVERNMENT NAME: C 0n� STP Ue 2 First Initial Las, AWWA MEMBER M Q �7 TITLE: ORGANIZATION: lArrtieG LJig-ter- DYT ADDRESS: 3 1 -1 50 Li 1 3 1 5 r Sr CITY STATE/ ZIP: LJ es 7 e (d r y c 7 OFFICE TELEPHONE: 31 7 733- 85,5' FAX: (3/? 73 1 c> u-s r EMAIL: REGISTRATION FEES' U. Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is Full conference member )WAdvance: $90 On -site: $175 r Full conference non member Advance: $155 O On -site: $175 One day member Advance: $65 On -site: $135 Day: One day non member o Advance: $95 On -site: $135 Day: COMPLD4ENfARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not o. ears r attended since the Annual Section Meeting moved to the Marriott Hotel five a Indiana's Drinking Water: Safe, Reliable, Secure 11 Y 9 minute DVD provides an excellent overview of the drinn king Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration 13 Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Totnl Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. 1 p c Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY R> HAW COMPLETED FORK PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special I ment b written request, post- y q P Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, 317 788 -4800 or A Jeff Peters or go to our web site Peters at 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. I 4j 100th A nnua l Meetin ,1a Se� tlli MMA SECTION A%VA s� Marriott Hotel Indianapolis, IN Celebrattn &00 Februar I9 -21 cd W ater Work$ R E G I S f R A T I O N F O R M UTILITY /OPERATOR /GOVERNMENT;~ NAME: dc"4"Ag�' 6 M 6 AWWA MEMBER M 0 Z 44 l Ld Last First Initial TITLE: ORGANIZATION: ADDRESS: CITY/STATE/ZIP: G� 'T 1 t� y "7 r OFFICE TELEPHONE: 1 7 3 3 7 �'S FAX 3+ 7 7 3- Zx�S EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership alify for Member rates. The DEADLINE for ADVANCE registration is Full conference member l$4dvance: $90 On -site: 175 Feb Full conference non member Advance: $155 On -site: $175 One day member 12j✓'\ $65 On -site: $135 Day: One day non member Advance: $95 El On-site: $135 Day: r�S Z COMI'LIIvIENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not "Indiana's Drinking Water: Safe, Reliable, Secure an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Totnl Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Pf Purchase Order No. A Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY REIURN COMPLETED FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 7884800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. i that date cannot be honored. a oa Se� 100th Annual Meeting MMA SECrflON c Marriott Hotel Indiana lis po IN rating a o0 Februar 19-21,2008 r Yers of $e�yrce d y 'dter Works R E G I S T R A T I O N FORM. U T I L I T Y I 0 P E R A T 0 R/ G 0 V E R N'M E N T NAME: k6eis Fo. J PC eT-r AWWA MEMBER Last First Initial TITLE: ORGANIZATION: �,��"wr r L _J4 er Oeygr ADDRESS: �O 3% Sf S 7-, CITY STATE if ZIP: OFFICE TELEPHONE: 3 7 7 3 3- .�35 5" FAX: 7 `7 -3 3 0.5 3 EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is Full conference member Advance: $90 On -site: $175 Full conference non-member Advance: $155 On -site: $175 One day member b 4dvance: $65 On -site: $135 Day: Tuc One day non member Advance: $95 On -site: $135 Day: �P 1 Z g COMPLDA NI'ARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not ears a attended since the Annual Section Meeting moved to the Marriott Hotel five ago. Indiana's Drinking Water: Safe, Reliable, Secure", n 11 Y 9 minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 K Total Amount Enclosed: Return this completed leted form with pa ment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. UDC _7 7 7':l 0 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS RE>~UND POLICY RETURN COMPLETED FORM, PLEASE! I Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, 317 788 -4800 or Attn: Jeff Peters or go to our web site Peters at 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after www.inawwa.org i with our request. Nashville, IN 47448 Y q that date cannot be honored. I I a\afia Se 100th Annual Meetin MMA SECTION AWWA c Marriott Hotel Inaianapolis, IN Celebratmg;at)0 Years of Serve ,a Februar 19-21,2008 d y 'aterWork's R E G I S T R A T 1 0 N FORM= U T I L I T Y/ 0 P E R A T 0 R I G 0 V E R N M E N T 4 NAME: C I4 re,��"T�r- Q.2 T FF AWWA MEMBER Y� Last First Initial TITLE: ORGANIZATION: C t 4 f free. JA- -.e,r D�,� g ADDRESS: 3 9 S 3 .5 r ST CITY/ STATE 1 ZIP: OFFICE TELEPHONE: Ti` 7 7 3 3 7 31 FAX: EMAIL: =f REGISTRATION FEES* Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is Full conference member Advance: $90 On -site: $175 eb 1, 2008 Full conference non member Advance: $155 On -site: $175 One day member 54dvance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: 7v e Fe COWLIMENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not attended since the Annual Section Meeting moved to the Marriott Hotel five ears ago. Indiana's Dunking Water: Safe, Reliable, Secure i n Y Student, full -time Retired (AWWA members only) y g minute DVD provides an excellent overview of the drinking water industry and our role in the protection of public Guest (Admittance to receptions only y) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing MEALS Tickets required safe and plentiful drinking water supplies. Order yours now! Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 $25.00 (pickup on site at the operator Registration El Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 Desk) $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 x TotnlAmountEnclosecj;$ n5. r,. Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: r Purchase Order No. U �1 �7) 4 r Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY FORD PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others I needs. Please contact Jeff marked no later than Feb. 8, 317 788 -4800 or Attn: Jeff Peters or go to our web site Peters at i 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com I Request for refunds made after www.inawwa.org with our re uest. Nashville, IN 47448 y q i that date cannot be honored. fN a Se �i 100th Annual Meetin6 INDIANA SE CTION AWWA F; c Marriott Hotel Indianapolis, IN n `Cglebratln &a.©0 Feb ruar 19-21 m ater Works PSy� 6\ E G I S T R A E O N O R Illl U T I L I T Y O P E R A T O R G O V E R N M E N T NAME: Srn f T J lE AWWA MEMBER Last First Initial TITLE: ORGANIZATION: (-:4 2wr�L i_ w) ;a wL— ww ADDRESS: 1`� CITY STATE I ZIP: L tv o 7 OFFICE TELEPHONE: U i 7.3 3 Z Sr. FAX: 7`-1 3 3 EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for A DVANCE F gistration is ull conference member Advance: $90 On -site: $175 Full conference •hon- member ❑Advance: $155 On -site: $175 One day member Advance: $65 On -site: $135 Da One day non member Advance: $95 On -site: $135 Day: �v>�S CONTLIMEN TRY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not o. ears attended since the Annual Section Meeting moved to the Marriott Hotel five a Indiana's Drinking Water: Safe, Reliable, secure•, an 11 Y 9 minute DVD provides an excellent overview of the drinking Student, full -time ❑Retired (AWWA members only) Guest (Admittance to receptions only) Name: health Industry and ou role in the protection of public EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing MEALS Tickets required safe and plentiful drinking water supplies. Order yours now! E) Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 $25.00 (pickup on site at the Operator Registration Desk) E3 Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 $35.00 (mailed to the address above) Total Amount Enclosed: J Return this completed form with p ment to the address below. )ICCheck made payable to Indiana Section AWWA is enclosed. (Check no.: )6 Purchase Order No.� Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS RJND POLICY REnM FORM, PLEASE Every reasonable effort will be You can recover our re- a COMPLETED Photocopy the registration made to accommodate special ment by written request, post Indiana n form for use by others needs. Please contact Jeff marked no later than Feb. 8, or go to our web site I Peters at (317) 788 -4800 or or Jeff Peters 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com I Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. I that date cannot be honored. I a Se �i 100th Annual Meeting ADM SECTIO AWWA woo W Marriott Hote1- Indianapolis, IN Celgbrattnya,00 o Februan3 19 21 2008 d� W ater Works PSyo R E G 6 S T R A E O i l F O R M U T I L I T Y/ 0 R E R A T 0 R I G 0 V E R N M E N T NAME: __W 9 S�,Qi✓ t AWWA MEMBER 0 Z q CP Last First Initial TITLE: ORGANIZATION: f n ADDRESS: CITY OFFICE TELEPHONE: t 7 3 3 Z Sr FAX: 1 7 3 '3 EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. Full conference member Advance: $90 On -site: $175 Full conference non member Advance: $155 On -site: $175 One day member 2"'Advance: $65 On -site: $135 Day: One day non-member Advance: $95 On -site: $135 Day: COMPLI14ENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not attended since the Annual Section Meeting moved to the Marriott Hotel five ears ago. Indiana's Drinking Water: Safe, Reliable Secure", n 11 y 9 minute DVD provides an excellent overview of the dri nking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18 5:30 9:00 p.m, regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 $35.00 (mailed to the address above) Totnl Amount Enclosed:$ cS Return this completed form with payment to the address below. 9cCheck made payable to Indiana Section AWWA is enclosed. (Check no.: tL Purchase Order No. Please charge to my: Visa MasterCard American Express Discover r Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL, NEEDS REFUND POLICY RETURN COMPUTED FORM PLP.ASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, or go to our web site I Peters at (317) 788 -4800 or 2008, to Jeff Peters. or Jeff Peters P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. I that date cannot be honored. ..,via Seto 100th Annual Mcetin6 11 r1J11`�►1 CIA SECTION A WWA c Marriott Hotel Indianapolis, IN Celebrat,ng400 s _Yea .y�ce' Februa 19-21,2008 ter workS R E G I S T R A T 1 0 N FORM r U T I L IT Y O P E R AT OR G O V E R N MEN T NAME: S i �►Psc�; 5n) AWWA MEMBER OzL( -�4 C� Last First Initial TITLE: ORGANIZATION: exri­eC LJ,-TP. ADDRESS: 3y50 w 131 sy S T CITY STATE ZIP: _LJ e-sTr, T, L 160_7 OFFICE TELEPHONE: t 7 7 33- FAX 3( 7 '732 EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. Full conference member Advance: $90 On -site: $175 F ull conference non member Advance: $155 On -site: $175 One day member N:�Advance: $65 On -site: $135 Da One day non member Advance: $95 On -site: $135 Day: COMPLA4ENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not "Indiana's Drinking attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minu DVD provides an excellent of the drinkin f s Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb, 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 4 Tota1 Amo cl unt Enosed: C Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: `Purchase Order No. Iv t 7 7 Please charge to my: Visa MasterCard Cl American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECLAL NEEDS REFUND POLICY REIURN COMPI.ETFD FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. 100th Annua Meetin Se��� 8 MMA SECnON AWWA r Marriott Hotel Indianapolis, IN CelQbratlq� a' Februar 19 -21, 2008 zei �m �3 ter Wor REGISTRAT10N FORMµ wa ks PSG U T I L I T Y/ 0 P E R A T 0 R I G 0 V E R N M E N T NAME: Ly(�eF� i✓�! Kam AWWA MEMBER 0 Z, Last First Initial TITLE: ORGANIZATION: l �4 ✓L r► i_ a i- ;l f' ADDRESS: S u 't) CITY I STATE ZIP: OFFICE TELEPHONE: 3 i 1 7 3 j 2-3 �'Sr FAX:( t 7 3 7 2-0 5 EMAIL: REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is Aim Full conference member Advance: $90 On -site: $175 i Full conference non member Advance: $155 On -site: $175 One day member I4dvance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPLD4ENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not "Indiana's Drinking Water: Safe, Reliable Secure an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! DIEMS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Total Amount Enclosed: Return this com p feted form with a ment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. C) 9 o Please charge to my: Visa MasterCard o American Express o Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE' Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. Se� 100th Annual Meeting NDMA SECIRON AWWA c Marriott Hotel Indianapolis, IN CelebraUr►ga0t) February l9 21,2008 ter Wo S Pyy REGISTRATION FORM U T I L I T Y O P E R A T O R G O V E R N M E N T NAME: 5 p ✓Z 5 yG(� J AWWA MEMBER Last First Initial TITLE: Or2�yn /V ORGANIZATION: _Z /fly [�!¢�2/yl i �f ,44_;'/G,� f, ADDRESS: 3 Y-5 W 1 5 s 5f: CITY I STATE 1 ZIP: llr Sf _4(/,j�ld 176AI, A16 07 y OFFICE TELEPHONE: 31 7 7 3 1 3 2 Y515� FAX: 17 `733 z o S 3 EMAIL: j 6p 6 4 RN9 L /N G D V REGISTRATION FM* Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is_ Full conference member Advance: $90 On -site: $175 Feb. Full conference non member Advance: $155 o On -site: $175 One day member Advance: $65 On -site: $135 Day: 1 y a 00 One day non member Advance: $95 On -site: $135 Day: COMPLUvTNTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure", an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking o Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18 5:30 9:00 p.m. safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Total Amouncl t Enosed: v Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. (ID L 7`/ on 7 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPI-EIFD PORK PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 7884800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. ,`ana 5e�'1i 100th Annual Meetin6 .�a MMA SECTION AWWA Marriott Hotel Indianapolis, IN Celebratirtgil February 19 -21, 2008 Yearia�a d��aterWo REGISTRATION FORM U T I- L I T Y! 0 P E R A T 0 R I G 0 V E R N M E N T NAME: D 6A 440 boo T AWWA MEMBER O 4 2 J r Last First Initial TITLE: i—CL< r ORGANIZATION: lqR ADDRESS: 34 5a w i3/ S7 CITY STATE I ZIP: 1 t/r s t 1't� d �y OFFICE TELEPHONE: FAX: 11-7) 7 Z S� EMAIL: A r b I A L! l`tl�' M� L Z N REGISTRATION FEFS' The,DEADLINE for ADVANCE registration is Employees of Utilities holding a Utility membership qualify for Member rates. Full conference member Advance: $90 E) On -site: $175 F eb. Full conference non member Advance: $155 On -site: $175 One day member P Advance: $65 On -site: $135 Day: 0 One day non member Advance: $95 On -site: $135 Day: COMPL 4-NTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable, Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking a Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18 5:30 9:00 p.m. safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20,12-noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Total Amount Unclosed: 6 s n Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. :z Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE; Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com I Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. I i a Se 100th Annual M ee tin6 MMA SECTION AWWA Marriott Hotel Indianapolis, IN February 19 -21, 2008 Ceieluatirig lUO i i iY. \D aferWo S Psy REGISTRATION FORM U T I L IT Y I 0 P E R AT OR I GO V E R N MEN T NAME: Uu lyd P:' r` 7i"114 AWWA MEMBER d 4 5 9 (Q Last First Initial TITLE: ORGANIZATION: W17 r'r ADDRESS: -Y/ 5T S lI rT CITY/STATE/ZIP: W O 7 OFFICE TELEPHONE: 3 J 7 3 3 Y S S FAX: 3 7 .7 3 .3 z 5 3 EMAIL: REGISTRATION FEES' Employees of utilities holding a Utility membership qualify for Member rates. DE f or Full conference member Advance: $90 On -site: $175 Full conference non member Advance: $155 On -site: $175 One day member [9'Advance: $65 On -site: $135 Day: rc 6 2 'a vS' One day non member Advance: $95 On -site: $135 Day: COMPLDAENI'ARY REGISTRATIONS b Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18, 5:30 9:00 p.m. sate and plentiful drinking water supplies. Order yours now! MEATS —Tickets required $25.00 (pickup on site'at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20,12-noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 Total Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. W Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RL'IURN COMPLETED FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com I Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. a ka S� 100th Annual M ee tM MMA SECnON AWWA Marriott Hotel Indianapolis, IN Celebrating oo February 19-21, ter wockS REGISTRATION FORM U T I L I T Y 1 0 P E R A T 0 R G O V E R N M E N T NAME: 1� S hr 'IV AWWA MEMBER C Last First -v,, r n tial TITLE: <ar9� C O Q L Gna Darr ORGANIZATION: p (.c a,�, L��o,•�� �f ADDRESS: j_0 (,.j 1 1 S T' CITY/STATE/ZIP: -s�. r���� 1 .(14Ci"i, OFFICE TELEPHONE: 3 C? 7_33 s j S' FAX: G31 13 3 -252 EMAIL: kr 6 tt t_S 0 Ca. rrV I f 4 O V REGISTRATION FEES' Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE registration is.,. Full conference •member 13 Advance: $90 El On-site: $175 Full conference non member Advance: $155 On -site: $175 One day member IrAdvance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPL24ENTARY REGISTRATIONS r 'O Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable, Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now. MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) ❑Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 e p Total Amount Enclosed: Return this com p leted form with payment to the address below. tP'Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. L)0 D 9 7 2 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMP FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others i needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or i 2008, to Jeff Peters. P.O. Box 534 for additional forms. I jeffpeters @mdwessier.com I Request for refunds made after Nashville, IN 47448 www.inawwa.org I with your request. that date cannot be honored. i 100th Annual Meetin INDLANA SECTION AWWA Marriott Hotel Indianapolis, IN 3� Celebiatin 0 00 February 19 Yea �D wore'�-S REG (STRATI ®N FORM• U T I L IT Y I O P E R AT OR GO V E R N MEN T NAME: o yl 0!� r' U' AWWA MEMBER Last Firsl Initial TITLE: �L a iya 9 rr ORGANIZATION: 6") o ADDRESS: ys J� S l �i CITY 1 STATE 1 ZIP: G��S7 F. �/�1 /y. G 7 ,'l OFFICE TELEPHONE: 7 7 1 b' �s FAX 3 i 7 7 3 .7 d EMAIL: REGIS"fRAMN YHY Employees of Utilities holding a Utility membership qualify for Member rates. The DEA DUNE for ADVANCE registration i s.,, Full conference member ["Advance: $90 On -site: $175 Full conference non member Advance: $155 On -site: $175 One day member Advance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPL DAENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure*, an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18, 5:30 9:00 p.m. safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 -p y---------------------------- Total Amount Enclosed Y ,9 Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no. i Purchase Order No. Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPL.Lr!ED FORM, PLEASES Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. I jeffpeters @mdwessler.com I Request for refunds made after I Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. i pa Se 100th Annual Meeting \ca INDM SECTION AWWA Marriott Hotel Indianapolis,lN Ieb iti, k i,1,0 o Februan -21, 2008 ter Wock5P���' REGISTRATION FORM ¢e U T I L IT Y I 0 P E R AT OR I GO V E R N M E N T NAME: L �a ad AWWA MEMBER V Last First lniGal TITLE: ORGANIZATION: 1/" T y or- C c�r�•, r/ Lfio� ry ADDRESS: 3 c7 5` W. 3 Si- S7 CITY STATE 1 ZIP: W--,5 r 6' L /t- "7 16 G 7 y OFFICE TELEPHONE: 3 i7 7 3 3 S 5 FAX: :3 7 J S 3 EMAIL: REGISTRATION FEES' DE The Employees of Utilities holding a Utility membership quality for Member rates. Full conference member advance: $90 On -site: $175 Full conference non-member Advance: $155 On -site: $175 One day member Advance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPLIMENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18 5:30 9:00 p.m. safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19,12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 otnl Amount Enclosed- 9_/r. Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: urchase Order No. 12D 7 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE~ Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com i Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. 100th Annual Meeting 5 p 5e If MMA SEC 110N AWWA Marriott Hotel Indianapolis, IN o` Februan319 -21, 2008 Celetuating�i00'V :r t erWo tksPSyc�' REGISTRATION FORM U T I L I T Y 1 0 P E R AT 0 R I G 0 V E R N M E N T NAME U AWWA MEMBER 4 Last Firsl Initial TITLE: ORGANIZATION: ADDRESS: 3 N s cam. 7 6-,7 -51 CITY 1 STATE 1 ZIP: 14'e5 y 6 1 41 C 7 �1 OFFICE TELEPHONE: 7 3 3 S S s FAX: 3/ 7 73 S 1 EMAIL: REGISTRATION FEES' Th DEADLINE fo re g istration is Employees of Utilities holding a Utility membership quality for Member rates. Full conference member CD Advance: $90 On -site: $175 Fe Full conference non-member Advance: $155 On -site: $175 One day member M $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPLIMENTARY REGISTRATIONS 'D Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public regarding the important issues associated with providing Monday, Feb. 18, 5:30 9:00 p.m. safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20,12-noon: Awards luncheon $20 $35.00 (mailed to the address above) ❑Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 r Total Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. 1 i Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORK FLF" Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com i Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. i that date cannot be honored. I a Se 100th Annual Meetin,5 0 MMA SECTION AWWA Marriott Hotel Indianapolis, tN Celebratiiig�i Uo t" February 19 -21, 2008 woSP REG ISTRAT10 N FORM U T I L I T Y 1 0 P E R A T 0 R G O V E R N M E N T NAME: l C) M QV Tee e AWWA MEMBER O''2 T l Last First Initial TITLE: ORGANIZATION: CTj C G/ /1, v/ t`i -e ADDRESS: y S b 3 I ST s Tr e T CITY 7 U m OFFICE TELEPHONE: i 7 73 -7- Y S S FAX: 31 7 7 3 J 2- S EMAIL: REGISTRATION FEES° Employees of Utilities holding a Utility membership qualify for Member rates. DE for ADVANCE registration is Full conference member Advance: $90 On -site: $175 Feb. 1, 2008 Full conference non member Advance: $155 On -site: $175 One day member advance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPLDA NTARY REGISTRATIONS b Free Registration for first time operator attendees or those operators who have not Indiana's Drinking Water: Safe, Reliable, Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now. MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 -p Total Amount Enclosed Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Purchase Order No. I i 1) 1 79 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN CONflq= FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM 70: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. f jeffpeters @mdwessler.com i Request for refunds made after Nashville, IN 47448 www.inawwa.org I with your request. that date cannot be honored. 0.` a k a Se 100th Annual Meetin,6 IMM SECTION AWWA Marriott Hotel Indianapolis, IN Februan3 -21, 2008 x 3� CelebratEngt700 ter WoS REGISTRAT10N FORM U T I L I T Y I 0 P E R A T 0 R G O V E R N M E N T NAME: le N kr NS A) AWWA MEMBER Last First Initial TITLE: ORGANIZATION: ADDRESS: CITY I STATE I ZIP: ✓P L 7 V f OFFICE TELEPHONE: i 7 7 3 3 3' S T FAX: _3 i 7 7— S .7 EMAIL: x REGISTRATION FEES' DE Employees of Utilities holding a Utility membership qualify for Member rates. Full conference member Advance: $90 On -site: $175 Full conference non member Advance: $155 o On -site: $175 One day member 2-Advance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPLDAENTARY REGISTRATIONS b Free Re for first time operator attendees or those o perators who have not g e9 P P 'Indiana's Drinkin Water: Safe, Reliable, Secure', an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 P------ -p y------------- Total Amount Enclosed: Return this completed form with pay ment to the address below. r heck made payable to Indiana Sectiio�n, AWWA is enclosed. (Check no.: Purchase Order No. (A 7 Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN CONfll D FORM, PIE,ASEI Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot be honored. na Se 100th Annual Meetin,6 ADMA SECTION AWWA Marriott Hotel Indianapolis, IN Gelebretingt100 Februd, 21,2008 t er wo S PS REGISTRATION FORM U T I L IT Y I 0 P E R AT OR GO V E R N M E N T NAME: 1 S C qr,' Al AWWA MEMBER G 1 1 Last First Initial TITLE: ORGANIZATION: ADDRESS a (ti, /J S7 57 r CITY /STATE /ZIP: w-'5T h/ 7y OFFICE TELEPHONE: 7 7 7 3 S S FAX: ,1 7 7.7 7- v EMAIL: REGISTRATION FEES' Employees of utilities holding a utility membership g ty p quality for Member rates. 7h e DEADLINE for.ADVANCE registration is Full conference member Advance: $90 On -site: $175 Feb. i Full conference non member Advance: $155 On -site: $175 One day member 0?'Advance: $65 On -site: $135 Day: One day non member Advance: $95 On -site: $135 Day: COMPL 1ENTARY REGISTRATIONS Free Registration for first time operator attendees or those operators who have not 'Indiana's Drinking Water: Safe, Reliable Secure", an 11 attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking Student, full -time Retired (AWWA members only) water industry and our role in the protection of public Guest (Admittance to receptions only) Name: health. i EARLY BIRD REGISTRATION This DVD was prepared to educate the general public Monday, Feb. 18, 5:30 9:00 p.m. regarding the important issues associated with providing safe and plentiful drinking water supplies. Order yours now! MEALS Tickets required $25.00 (pickup on site at the Operator Registration Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 Desk) Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 $35.00 (mailed to the address above) Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 ToW Amount Enclosed s� Return this completed form with payment to the address below. heck made payable to Indiana Section AWWA its enclosed. (Check no.: Purchase Order No. a J Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLEM FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM 70: Photocopy the registration made to accommodate special I ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Jeff marked no later than Feb. 8, Attn: Jeff Peters or go to our web site Peters at (317) 788 -4800 or 2008, to Jeff Peters. P.O. Box 534 for additional forms. jeffpeters @mdwessler.com I Request for refunds made after Nashville, IN 47448 www.inawwa.org I with your request. that date cannot be honored. Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER ,a CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, o price per unit, etc. Payee T2010 INDIANA SECTION AWWA Purchase Order No. ATTN JEFF PETERS Terms PO BOX 534 Due Date 1/14/2008 NASHVILLE, IN 47448 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/14/2008 1.1408 $1,360.04 a �r I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 074397 WARRANT ALLOWED T2010 IN SUM OF INDIANA SECTION AWWA�� ATTN JEFF PETERS �J n S(� z r PO BOX 534 NASHVILLE, IN 47448 ��R�� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code L133' 11408 01- 6040 -03 11408 01- 6040 -05 $725.00 �Q Voucher Total $1,360.04 Cost distribution ledger classification if claim paid under vehicle highway fund