2024 Fall Education Registration "*" indicates required fields 1FWQA Membership2Registration3Attendees4Review & Submit FWQA MembershipAre you a member of FWQA?* Yes No Select Your Membership Company*— select a Member —3Waters FL LLCA-2-Z Water Systems IncAbsolute Water Management – EcoWaterAction Manufacturing & SupplyAdvance Water Systems IncAdvanced Water ProductsAdvanced Water Systems, Inc.Advanced Water Technologies IncAerus LLCAffordable CondtionersAffordable WaterAffordable Water & Coffee ServiceAlbert Soft WaterAll American Purification LLCAll Florida Soft WaterAll Star Plumbing & DrainAll-Rite Water PurificationAllini Water Filters of FloridaAO Smith Water Treatment (NA) Inc, Hague Quality WaterAQMaticAqua Care Water Treatment & PlumbingAqua FinanceAqua Guru , LLCAqua Plumbing & Air Services IncAqua Soft Water Services Inc.Aqua SolutionsAqua WholesaleAquaflow LLCAquakleen Products IncAqueous Solutions GlobalAshberry Water ConditioningAtlantic Filter CorpAtlantic Filter of Polk CountyAtlantis FilterAvoda Water SolutionsBalanced Water and Drain ServicesBest Water Solutions, Inc.Best Water Systems, IncBetter Water, LLCBluewater USA, IncBranch Water of Central FloridaBrita ProBush Services Inc.C-Tech Water SolutionsCaptain FiltrationCargill SaltCentral Florida Water Solutions LLCCertain Services IncCGC Water -/ Northeast Florida Water LLCCharger Water Treatment – JacksonvilleCharger Water Treatment – OdessaChowder FinancialClack CorporationClean Water AmericaClean Water Clear LLCCoast Pump Water TechnologiesCoastal Clean H2OComplete Water SystemsCon-Serv Mfg.CRYSTAL WATER SYSTEMS INCCulligan Gulf Coast of LargoCulligan Gulf Coast of Port RicheyCulligan West Palm BeachDavid's Water SystemsDierolf Water Solutions, LLCDOMERS INCDrller Service, Inc. – DSIEast Coast Well, Pump & Water TreatmentEcoverseEcoWater of North Florida/ Sunshine State Water LLCEcoWater of TampaEd's Wells & Pumps IncEnpress LLCEnvironmental World Products LLCEvergaldes Laboratories, IncFargo Well and Pump Services IncFilter Pure Systems, Inc.Filtration PartsFinal Filter LLCFirst Choice Water Treatment and Well Service LLCFlorida Pump ServiceFlorida Water Consultants, LLCFlotilla Partners LLCFloTrol International LLCFluid Systems and ControlsFoundation FinanceFreshWater Direct LLCFSHSG and C RO Manufacturing Inc.G.A. MURDOCKGardens Water Filtration LLCGator Water Analysis & Treatment, IncGenesis Environmental Tecnologies, Inc/ Tri Star Marketing and Distributing LLCGet Water AnswersGetWaterAnswers.comGlobal Water Solutions, USAGood Marketing GroupGriffin HVAC and Plumbing Services LLCGuardian Water ServicesH2O InternationalH2O Systems IncH2O Water ProsHealthy Water Systems, LLCHome Supply & Services LLCHughes Supply – OcalaHydrenesis, IncHydro Medix Technologies Inc.Hydronix Water TechnologyHydrotech-A division of Canature WaterGroupIG Water Treatment InternationalIntegrity Water Treatment LLCJ.C. GALLOWAY, THE WATER DOCTOR, INC.Jason's Water Systems of FloridaJB Water TreatmentJLK Salt ServicesJohn Guest USA/ RWCJohn The Plumber IncK & R Water Service IncKineticoKinetico water systems of SW FLLamplight Digital Media, LLCLeaf Home Water SolutionsLee & Jen H2oLiquid Soap ProductsLove My Home Services LLCMajor League Plumbing and Home ServicesMarmon Water Residential FiltrationMeticulous Constructors IncMiami Alkaline WaterMiami Hydro TechnologiesMJHS, LLCMorton SaltMultiple Repair Solutions LLCMy Agua Tech LLCMy Innovation Products,LLCNeer Water Filtration Sales & ServiceNelsen CorpNew Wave WaterNothing But WaterNS-Industries LLCNuco Pump & Well Services LLCOne Green FilterPegasus Water LLCPentair WaterPinnacle Express, IncPlatinum Industries LLCPortasoft WaterPrecision Installation Products IncPreferred Pump & EquipmentPro ProductsPure and Gentle SoapPure Infinity GroupPure Liquid Water, LLCPure Touch Water Filters IncPuronics Water Systems, IncQuantum Leap Sales Meetings & Training LLCR & S Softwater Service IncRedeemed Water Solutions, LLCResinTechRUSCO / VU-FLOW FIltersSafeway Water LLCSayler's Suncoast WaterScotwood Industries LLCSeagull Water SolutionsSeminole Tribe of FloridaSheffield's Pump Service LLCStenner Pump CompanySundial Inc.SWFL Hydrology IncT & K Water ConditioningTHE LEVEREDGEThe Water Doctor of South FloridaThe Water ExpoThermaxTitan Water SelectorUllrich’s Water Conditioning Service, IncUnited DistributorsVery Well Water LLCVIQUAWater Genius Systems IncWater Medic of Cape Coral, Inc.Water Solutions of FloridaWater Treatment and Filtration LLCWater Treatment WarehouseWater-ProWaterColor ManagementWaterite – Franklin Water TreatmentWaterman CompanyWATTSWell Connection, LLCWest Coast Plumbing & Water Treatment LLCWNK Water SolutionsHiddenMember Company Name Would you like become a member of FWQA?*An FWQA membership is $195 and will be added to today’s total. The membership includes more than a 25% discount off of the registration rate for the Fall Education Seminar, among other benefits Yes No FWQA Membership InformationName* First Last Email* Phone*Company* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code RegistrationWho are you registering for?* Myself Myself AND additional people (additional people are: employees, technicians, spouse, etc.) Additional people ONLY (additional people are: employees, technicians, spouse, etc.) You have Selected ‘MYSELF’. This means you have NO OTHER additional attendees at this time.You have Selected ‘ Myself AND additional people’. This means you are registering YOURSELF AND OTHERS at this time.You have Selected ‘Additional people ONLY’. This means you have already registered YOURSELF BUT you need ADDITIONAL registrations at this time.Including yourself, how many people are you registering?*12345678910How many people are you registering?*12345678910 Attendee #1Primary Name* First Last Primary Email* Enter Email Confirm Email Additional Email Receipt copy for a manager, bookkeeper, etc.Primary Phone*Attendee #2Name First Last Email PhoneAttendee #3Name First Last Email PhoneAttendee #4Name First Last Email PhoneAttendee #5Name First Last Email PhoneAttendee #6Name First Last Email PhoneAttendee #7Name First Last Email PhoneAttendee #8Name First Last Email PhoneAttendee #9Name First Last Email PhoneAttendee #10Name First Last Email Phone DonationWould you like to donate to the Florida Committee on Water Quality?* Yes No Donation ChoicesPlease pick an a level below. If you would like to set your own donation amount, choose “Custom” and a box will appear.Bronze ($25)Silver ($50)Gold ($100)Platinum ($200)CustomCustom DonationPlease put an amount below. Must be a number.Please enter a number greater than or equal to 0.Total CostFWQA Membership Price: 1 Attendee Member TotalNumber of Attendees X $60 Price: ADDITIONAL Attendees Member TotalNumber of Attendees X $50 Price: $0.00 ADDITIONAL Attendees ONLY Member TotalNumber of Attendees X $50 Price: $0.00 1 Attendee New Member TotalNumber of Attendees X $60 Price: ADDITIONAL Attendees New Member TotalNumber of Attendees X $50 Price: $0.00 1 Attendee Non Member TotalNumber of Attendees X $90 Price: ADDDITIONAL Attendees for Non-MemberNumber of Attendees X $90 Price: $0.00 ADDITIONAL Attendees ONLY Member TotalNumber of Attendees X $90 Price: $0.00 Donation Amount Price: $25.00 Total Credit CardCard Details Cardholder Name Δ