CaribDA Workshop Registration – St. Maarten – 11th Dec. 2019 "SWRO Plant Operation Preparedness & Preventative Maintenance” WorkshopSonesta Maho Beach Resort, Maho Bay, St. MaartenWednesday, 11th December 2019 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* Website Special NeedsFood Allergies (describe below)Gluten Free MealsPaleo MealsVegan MealsVegetarian MealsWheelchair AccessOther (describe below)Special Needs Comments Member CaribDA IDA (check all that apply) Staying at Host HotelMake your lodging arrangements directly with the Sonesta Maho Beach Resort, Maho Bay, St. Maarten or by phone at Ph: (1) 800-223-0757 and be sure to mention CaribDA for the group rate. An all-inclusive group rate for single of $235 USD / double of $130 USD per person ($260 USD for 2), plus appropriate taxes has been negotiated for reservations made by 13th November 2019.Will you be staying at the Host Hotel: Sonesta Maho Beach Resort, Maho Bay, St. Maarten?*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: Sonesta Maho Beach Resort, Maho Bay, St. Maarten?* Workshop & Sponsor RegistrationToday - Date Date Format: MM slash DD slash YYYY Early Workshop Registration*Members/Affiliates (must be from the list above), $150.00 USDNon-Members (includes 2 Year Individual Membership), $230.00 USDFor other types of Membership-please contact CaribDA or see our online Membership Application form.Workshop Registration*Members/Affiliates (must be from the list above), $200.00 USDNon-Members (includes 2 Year Individual Membership), $280.00 USDFor other types of Membership-please contact CaribDA or see our online Membership Application form.ExhibitTable Top, $650.00 USDNone (Spaces are selected onsite - first come, first served.)SponsorMajor, $1,000 USDLunch, $750 USDBreakfast, $500 USDRefreshment Break, $350 USDNone (Spaces are selected onsite - first come, first served.)Company DescriptionPlease provide one paragraph – 150 words or lessUpload Company LogoPlease provide a High Resolution, 300 DPI or greaterTotal Registration Fee $0.00 Billing Contact InformationEnter billing contact information, if applicableBilling Contact Name First Last Billing Contact Email Enter billing contact's email address, if applicableBilling Contact Phone Please send copy of the invoice/receipt to Billing Contact Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf paying by Check, make payable to Caribbean Desalination Association, 2409 SE Dixie Hwy., Stuart, FL 34996. CommentsComments/Questions Cancellations/RefundsWritten cancellation requests received on or before 13th Nov. 2019 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after 14th Nov. 2019 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. 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 enrollee if a program is cancelled. If a program is not held, CaribDA’s liability is limited to the refund of the program fee only. Final Step of Application ProcessPlease enter the letters displayed below to complete your application and then click Submit.CAPTCHAPlease refer to CaribDA’s Privacy Policy if you have any questions regarding your preferences.