WAPA Conference: Register to Attend, Exhibit, or Sponsor Please visit the conference information page for full details and the agenda for WAPA’s 60th Annual Conference and Business Meeting. Unique IDMember Type*Please SelectWAPA MemberGovernment/EducationNon-WAPA MemberRegister to AttendWould you like to register to attend?*YesNoPlease select a Member Type above.Attendee Rate* Price: $0.00 How many attendees would you like to register?12345678910Breakout SessionsChoose one session in each of the time slots during Tuesday afternoon. Selected sessions are offered twice to allow scheduling flexibility.Attendees*First NameLast NameEmailBreakout Session 1:30pm - 2:30pmBreakout Session 2:45pm - 3:45pmBreakout Session 4:00pm - 5:00pmMeal Selection Please SelectStone-Matrix Asphalt (SMA)Recreational FacilitiesEthics TrainingPlease SelectBack to Basics: AggregatesBack to Basics: Mix DesignStone-Matrix Asphalt (SMA)Recreational FacilitiesPlease SelectAir Quality/EmissionsBack to Basics: AggregatesBack to Basics: Mix DesignPlease SelectEast-West Mahi-MahiTenderloin Filet and Grilled ChickenSeasonal Ravioli (vegetarian)None (dinner on your own) Exhibit at the ConferenceWould you like to exhibit at the conference?*YesNoPlease select a Member Type above.As an exhibitor you will receive: A booth in our exhibitor space Conference registration for up to two individuals Recognition in the conference program as an exhibitor A business card-sized ad in the conference program (See the ad specifications) A tabletop and electrical outlet are provided to each exhibitor. Exhibitor spaces are preassigned, with requests granted on a first-come, first-served basis upon receipt of payment.Exhibitor Rate Price: $0.00 Please list up to two complimentary attendees here included with your Exhibitor fee. DO NOT include these names in the regular Attendee section above or you will be charged twice for these attendees.Breakout SessionsChoose one session in each of the time slots during Tuesday afternoon. Selected sessions are offered twice to allow scheduling flexibility.How many complimentary attendees would you like to register?*12Complimentary Attendees*First NameLast NameEmailBreakout Session 1:30pm - 2:30pmBreakout Session 2:45pm - 3:45pmBreakout Session 4:00pm - 5:00pmMeal selection Please SelectStone-Matrix Asphalt (SMA)Recreational FacilitiesEthics TrainingPlease SelectBack to Basics: AggregatesBack to Basics: Mix DesignStone-Matrix Asphalt (SMA)Recreational FacilitiesPlease SelectAir Quality/EmissionsBack to Basics: AggregatesBack to Basics: Mix DesignPlease SelectEast-West Mahi-MahiTenderloin Filet and Grilled ChickenSeasonal Ravioli (vegetarian)None (dinner on your own) Sponsor the ConferenceWould you like to sponsor the conference?*YesNoAs a sponsor you will receive: Recognition in the conference program at your sponsorship level Your company logo on signage or projected display (throughout the conference for full sponsors or at your specific sponsored event) Recognition as a sponsor by the conference emcee during the conference (throughout the conference for full sponsors or at your specific sponsored event) Gold, Silver and Bronze sponsors also receive a business card-sized ad in the conference program (see the ad specifications) Full Conference SponsorshipsFull Conference SponsorshipsOptions Gold (1 remaining) Silver (1 remaining) Bronze (3 remaining) Event SponsorshipsEvent SponsorshipsOptions Awards and Scholarship Luncheon (Day 1) SOLD OUT Snack/Coffee Break (Days 1 and 2) SOLD OUT Cocktail Reception (Day 1) SOLD OUT Dinner (Day 1) SOLD OUT Hospitality Suite (Day 1) SOLD OUT Breakfast (Day 2) SOLD OUT Billing ContactName* First Last Company/Organization*Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TotalsPayment $0.00 {all_fields}How would you like to pay?Credit CardSend me an invoiceCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.
