CaribDA 2021 Conference Registration RegistrantPlease refrain from using all caps/uppercase letters, please use sentence structure letter case.Salutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*Company*Job Title*Address*City*State*Zip/Postal Code*Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUSAUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone*CellEmail*Enter registered attendee's email address Website Special NeedsFood Allergies (describe below)Gluten Free MealsVegan MealsVegetarian MealsWheelchair AccessOther (describe below)Special Needs Comments Member CaribDA IDA Billing Contact InformationEnter billing contact information, if applicableBilling Contact NameBilling Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Staying at Host HotelMake your lodging arrangements directly with the Grand Hyatt Baha Mar or by phone at Ph: 877-803-7534 and be sure to mention CaribDA 2021 Conference for the group rate. A group rate for single/double of $219 USD, plus appropriate taxes has been negotiated for reservations made by 1st June 2021 by 5:00pm Eastern.Will you be staying at the Host Hotel: Grand Hyatt Baha Mar?*Yes, I will be staying at the host hotelNo, I will not be staying at the host hotelHow many nights will you be staying at the Host Hotel: Grand Hyatt Baha Mar?*CaribDA COVID-19 Safety CaribDA is committed to the health and safety of our Conference Participants. In-person events held by CaribDA will maintain the highest of safety standards to protect the well-being of our attendees, speakers and staff. We want your input on whether your personal and/or company policy will prevent you from attending the Conference in-person. To learn more about what CaribDA is doing to protect you at in-person meetings, CLICK HERE.In the event that it becomes necessary to produce the Conference virtually, indicate your availability known at this time (respond to each option):1. Willing/Able to attend in personYesNoUnknown2. Willing/Able to attend virtuallyYesNoUnknown RegistrationRegistration and Payment must be received by 31st May 2021 to receive the early registration rate.Today - Date Date Format: MM slash DD slash YYYY Conference Attendee Early-Reg.*Member/Affiliate (Must be from the list above), $400Non-Member (includes individual membership), $480Full-Time Student/Retired, Member, $250One Day Only: Wednesday, $200One Day Only: Thursday, $200Exhibit Hall Access Only - 1 Day: Wednesday (meals not included), $125Exhibit Hall Access Only - 1 Day: Thursday (meals not included), $125Non-Attendee - Purchase Materials Only, $100Not Attending Conference (Pre-Conference Workshop Only), $0Please contact CaribDA for membership application, or click here for membership information and application.For Sponsor/Exhibitor Registration - click here for the Exhibitor/Sponsor Registration form.Conference Attendee Registration*Member/Affiliate (Must be from the list above), $450Non-Member (includes individual membership), $530Full-Time Student/Retired, Member, $300One Day Only: Wednesday, $250One Day Only: Thursday, $250Exhibit Hall Access Only - 1 Day: Wednesday (meals not included), $125Exhibit Hall Access Only - 1 Day: Thursday (meals not included), $125Non-Attendee - Purchase Materials Only, $100Not Attending Conference (Pre-Conference Workshop Only), $0Please contact CaribDA for membership application, or click here for membership information and application.For Sponsor/Exhibitor Registration - click here for the Exhibitor/Sponsor Registration form. Pre-Conference Workshop Attendee Early-Reg.*Tuesday, 29th June This Workshop is an additional fee and is not included in full registration fee.Member Pre-Conference Workshop, $85Non-Member Pre-Conference Workshop, $165No, Pre-Conference Registration neededPre-Conference Workshop Attendee Registration*Tuesday, 29th June This Workshop is an additional fee and is not included in full registration fee.Member Pre-Conference Workshop, $135Non-Member Pre-Conference Workshop, $215No, Pre-Conference Registration needed Included Conference ActiviesThe following functions are included in the full registration fee. Separate registration below for guest functions.Tuesday Welcome Reception & Social*Baha Mar Tues. 29th June - 6:00-8:00 pmYes, Attending Tues. Welcome Reception & SocialNot Attending Tues. Welcome Reception & SocialWednesday Luncheon*Wed. 30th June - 12:30-1:30 pmYes, Attending Wed. LuncheonNot Attending Wed. LuncheonWednesday Networking Reception & Charity Event*Baha Mar Wed. 30th June - 5:30-8:30 pmYes, Attending Wed. Networking ReceptionNot Attending Wed. Networking ReceptionThursday YLP Mentor/Mentee Breakfast, Interactive Session*Baha Mar Thurs. 1st July - 8:00-9:00 amMentorMentee: Student or Young ProfessionalNot Attending Mentor/Mentee BreakfastStudent or Young Professional?*StudentYoung ProfessionalThursday Luncheon*Thurs. 1st July - 12:30-1:30 pmYes, Attending Thurs. LuncheonNot Attending Thurs. LuncheonThursday Reception & Awards Banquet Dinner*Thurs., 1st July - 7:00-10:00 pmYes, Attending Thurs. Recept. & Awards Banquet DinnerNot Attending Thurs. Recept. & Awards Banquet DinnerFacility Tour*Windsor Field Plant Fri., 2nd July - 8:15-11:30 amYes, Attending Facility TourNot Attending Facility Tour Optional Guest Conference ItemsThese items are an additional fee and not included in full registration fee.Early-Reg Guest Activities*These items are an additional fee and not included in full registration fee. Guest - Full Package (all Guest Functions below), $150 Guest Tues. Welcome Reception - Tues. 29th June, $25 Guest Wed. Luncheon - Wed. 30th June, $25 Guest Wed. Networking Reception - Wed. 30th June, $25 Guest Thurs. Luncheon - Thurs. 1st July, $25 Guest Thurs. Reception & Awards Banquet Dinner - Thurs. 1st July, $50 Guest Facility Tour - Fri. 2nd July, $25 No Optional Items needed Guest Activities*These items are an additional fee and not included in full registration fee. Guest - Full Package (all Guest Functions below), $200 Guest Tues. Welcome Reception - Tues. 29th June, $35 Guest Wed. Luncheon - Wed. 30th June, $35 Guest Wed. Networking Reception - Wed. 30th June, $35 Guest Thurs. Luncheon - Thurs. 1st July, $35 Guest Thurs. Reception & Awards Banquet Dinner - Thurs. 1st July, $60 Guest Facility Tour - Fri. 2nd July, $35 No Optional Items needed Guest Name* Total Registration FeeTotal Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf paying by check, make payable to: Caribbean Desalination AssociationMail to: 2409 SE Dixie Hwy., Stuart, FL 34996 CommentsComments/Questions Cancellations/RefundsWritten cancellation requests received by CaribDA on or before 31st May 2021 will receive a refund, less $50 as a processing fee. Full payment is required if cancellation is received on or after 1st June 2021 - no refunds and no credits for future events will be granted. CaribDA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each registrant if a program is cancelled. If a program is not held, CaribDA’s liability is limited to the refund of the program fee only. CAPTCHACAPTCHAPlease refer to CaribDA’s Privacy Policy if you have any questions regarding your preferences.