Section A: Registrant Information

Fields marked with an asterisk (*) are required.
Note to CAWQ members: login for quick registration and discounted pricing

Salutation	Dr. Miss Mr. Mrs. Ms. Prof
First Name
*Last Name
*Affiliaton
*Email
*Address
*City
*Province
*Postal Code
Country	ArubaAustraliaAustriaAzerbaijanBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland IslandsFijiFinlandFormer Yugoslav Rep of MacedoniaFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern MarianasNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich Is.South KoreaSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe BahamasThe GambiaTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUS Virgin IslandsUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and FutunaWestern SaharaYemenYugoslaviaZambiaZimbabwe
*Telephone

Section B: Registration Fees

The conference fee includes attendance at the symposium and a copy of the book of abstracts.

Note that all students and Water professionals who are 35 years old or younger are considered as YWPs.

Please check the appropriate box. CAWQ membership is valid for one year and includes an electronic subscription to the Water Quality Research Journal of Canada (4 issues per year).

CAWQ members with a valid membership will have access to member pricing

		Fee
	CAWQ Member Please login with a valid membership for access to member pricing	$150.00
	Non-Member (Attending the conference only)	$175.00
	Non-Member (Conference fees plus CAWQ membership*)	$300.00
	YWP CAWQ Member Please login with a valid membership for access to member pricing	$50.00
	YWP Non-Member (Attending the conference only)	$75.00
	YWP Non-Member (Conference fees plus CAWQ membership*)	$110.00

^*Registration fee includes a one-year membership to the CAWQ. This includes a one-year subscription to the Water Quality Research Journal.

Section C: Additional Information

Section D: Payment Information

Credit Card (Visa or Mastercard only)