Registration Form
Participant ¨ Presenter ¨
Exhibitor ¨ Guest ¨
(up to 2 Company Representatives)
Name:________________________________________
First name Last Name
Guest:_______________________________________
First Name Last Name
Organization:_______________________________
Address:____________________________________
______________________________________________
______________________________________________
Tel:__________________ Fax:___________________
Email:________________________________________
Credit Card (Visa and Mastercard):
I expect_____________US$ to be billed to my credit card.
Card Type:___________________________________
Name:________________________________________
Card #:______________________________________
Expiry Date:_________________________________
Signature:___________________________________
I Have Enclosed:
A Bank Draft For:___________________US$
Please make payable to Water Authority-Cayman
Please Fax or Mail
All participants, please submit one registration
form per person
Exhibitors
I would like to reserve a Booth ¨
Exhibitor's fee covers:
Registration for 2 individuals
A booth space of approximately
8'x 6'.
Admission to the exhibition and technical sessions
Access to secretariat services
Coffee and refreshment breaks
Welcome Reception
Awards Ceremony and Banquet
Displays must be mounted by 1st October 2001
Please Fax or Mail to:
CWWA
Conference Planning Committee
c/o Water Authority-Cayman
P.O. Box 1104 GT
Grand Cayman
Cayman Islands
Tel: (345) 949-6352
Fax: (345) 949-0094
Email: [email protected]