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2025 Fall Education Registration

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1FWQA Membership
2Registration
3Attendees
4Review & Submit

FWQA Membership

Are you a member of FWQA?*
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Would you like become a member of FWQA?*
An FWQA membership is $250 for annual dues and will be added to today’s total.

FWQA Membership Information

Name*
Address*

Registration

Who are you registering for?*
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.

Attendee #1
Primary Name*
Primary Email*
Receipt copy for a manager, bookkeeper, etc.

Attendee #2
Name

Attendee #3
Name

Attendee #4
Name

Attendee #5
Name

Attendee #6
Name

Attendee #7
Name

Attendee #8
Name

Attendee #9
Name

Attendee #10
Name

Donation

Would you like to donate to the Florida Committee on Water Quality?*
Please pick an a level below. If you would like to set your own donation amount, choose “Custom” and a box will appear.
Please put an amount below. Must be a number.
Please enter a number greater than or equal to 0.

Total Cost

Number of Attendees X $70
Number of Attendees X $60
Price: $0.00
Number of Attendees X $60
Price: $0.00
Number of Attendees X $70
Number of Attendees X $60
Price: $0.00
Number of Attendees X $100
Number of Attendees X $100
Price: $0.00
Number of Attendees X $60
Price: $0.00
Price: $25.00

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Become a member of FWQA!

Please fill out the form below to become member of FWQA!

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FWQA Member Information

Name*
Address*

Additional Names & Emails

Is there anyone else at your company that you would like to have receive email communications from FWQA? If so, please list their name and email address below.
Do you need to add any additional members from your organization?*
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Name
Name
Name
Name
Name

Donation

Would you like to donate to the Florida Committee on Water Quality?*
Donation amount

Membership

FWQA Membership

Sign up for Education Seminar

Please fill out the form below to sign up for our Education Seminar.