Water and Development Congress & Exhibition

13 - 16 NOVEMBER 2017 BUENOS AIRES ARGENTINA

DELEGATE REGISTRATION

1. Delegate Details
Family Name Prof / Dr / Mr / Ms / Mrs (please indicate)

First Name (for badge) Male / Female (please indicate)

Company / Organisation / University

Position x if YWP (age 35 and under) Date of birth (optional) dd / mm / yyyy

Mailing Address x if Presenter Paper ID Number

City State Post Code Country

Nationality (as on passport) Telephone Mobile

Fax Email Address (to confirm your registration)

LinkedIn Address Twitter Account

2. Your Profession
Your organisation (please x ONE) Primary work role (please x ONE) Education (please x ONE)
Consultancy / Contracting Administrator PhD

Educational Institution / University Communicator PhD Student

Government Engineer / Technical Master Degree

Large Water-using Industry Human Resources Bachelor Degree

Manufacturer / Supplier Manager Undergraduate Student

NGO Policy Advisor Other (please specify)

Regulator Product Developer

Research / Analytical Lab Researcher / Scientist

Utility Sales & Marketing

Other (please specify) Student

Other (please specify)

3. Passport Information
To assist with visa applications, we are collecting and providing the below information to the Argentine
Government. If you are required to apply for a visa, please complete the below:

Full name as it appears on passport Passport Expiry

Passport Number Country of Passport

Country of Residence Male / Female (please indicate) Date of Birth

4. Visa Letter
Please x if applicable. Please x if applicable.
I wish to pay my registration fees in full now. I cannot pay my delegate registration fee in full before having obtained a visa to enter Argentina and
Please fill in your registration fee in the price wish to pay a non-refundable deposit of US$50 to obtain an invitation letter in advance. The balance
calculator (item 5) of my registration fees will be paid when I have obtained a visa and, depending on when that is,
will determine the delegate registration price. The US$50 deposit will be deducted from this price.
Please fill in the deposit fee of US$50 in the price calculator (item 10).

1 IWA Water and Development Congress & Exhibition Buenos Aires 2017
 5. Registration Fees (USD)
Early Bird fee applies until October 1, Regular fee applies from October 2 to Onsite fees applies from November 11,
2017 November 10, 2017 2017 onwards
Early Bird Early Bird LIC Regular Regular LIC Onsite Onsite LIC Amount

IWA member - Presenter US$ 475 (1) US$ 300 (1, 3) - - - -

IWA non-member - Presenter US$ 625 US$ 400 (3) - - - -

IWA member US$ 525 (1) US$ 375 (1, 3) US$ 675 US$ 450(1, 3) US$ 825 US$ 550 (1, 3)

IWA non-member US$ 675 US$ 450 (3) US$ 825 US$ 525 (3) US$ 975 US$ 625 (3)

Student US$ 275 (2) US$ 225 (2, 3) US$ 350 (2) US$ 300 (2, 3) US$ 425 US$ 375 (2, 3)

All registration prices above include attendance at the welcome reception; congress sessions; exhibition; and lunches, morning and afternoon teas.
1. Membership of IWA will be verified and membership status is not transferable. If the member number supplied above is incorrect no discount will
apply. IWA membership refers to Individual and Corporate Members, Governing Members cannot register at the member registration fee.
2. Student-rate conditions apply. While collecting your badge, you will be asked to show your student ID.
3. LIC means low-income country. For a complete list go to http://www.iwa-network.org/downloads/MEMBERSHIP_INFORMATION.pdf
and scroll down to the bottom of the page.

Accompanying Person
The accompanying persons registration includes attendance at the opening ceremony and Family name:
welcome reception; partner activities and gala dinner. Kindly note the accompanying persons
are not allowed to participate in the congress working sessions. First name:

Price Nr. of Persons Amount

Mobile number:
Accompanying person US$ 150
E-mail address:
Please indicate attendance for the partner activities below (attendance for technical tours
and social functions can be selected in section 8 & 9)

Price Attending Not Attending

Panoramic City Tour Tuesday 14

Please x Please x Subtotal 1:

Please x Please x
if attending if attending

Tigre Boat Trip Wednesday 15

if attending if attending

6. Membership
Discounted registration is only applicable for current, paid IWA individual
Membership Type High-income Low-income / LIC
members and employees of IWA corporate members.
Are you an individual member of IWA? Individual (1 year - 2017) US$ 117 US$ 59
Yes / No (please indicate)
Individual (2 year - 2017 /18) US$ 212 US$ 106
If yes, please quote the membership no.:
Student / retired (1 year - 2017) US$ 58 US$ 42

Is your company / organisation a corporate member of IWA? Student / retired (2 year - 2017 /18) US$ 104 US$ 76
Yes / No (please indicate)
If yes, please quote the membership no.:

If no and you wish to apply for membership and get a registration discount,
Subtotal 2:
please circle the category to which you wish to subscribe to. The IWA
Membership Department will contact you to confirm your membership.
http://www.iwa-network.org/membership.php

7. Privacy
When you register, we will add your details to the IWA database.
We respect your privacy and will remove your details from the
database if you ask us to. After the event we would like to send you
information on future related conferences, seminars and exhibitions.
Participants are aware that their image and/or voice may be
photographed, recorded or filmed throughout the duration of the
congress. They hereby assign to the IWA, with the signature of this
form, the right to use, reproduce and disseminate the images, and
recordings by all means, both known and unknown, using all media, for

x
If you do not wish to receive
an unlimited term and free of charge, for non-commercial purposes.
this information please

2 IWA Water and Development Congress & Exhibition Buenos Aires 2017
 8. Technical Tours
Accompanying

x x
Date Delegate person
Please Please
Juan Manuel de Rosas Plant, Tigre Tour 1 Friday 17 November, 9.30am 12.30pm
if attending if attending

Juan Manuel de Rosas Plant, Tigre Tour 2 Friday 17 November, 2.30pm 5.00pm
Please x Please x
if attending if attending

North Wastewater Treatment Plant, San Fernando Tour 1 Friday 17 November, 9.30am 12.30pm
Please x Please x
if attending if attending

North Wastewater Treatment Plant, San Fernando Tour 2 Friday 17 November, 2.30pm 5.00pm
Please x Please x
if attending if attending

Please note numbers to tours are limited and bookings will be taken on a first in basis.

9. Social Functions
Accompanying $ extra Nr. of
Event Date Venue $ delegate Amount

x x
person person persons

Please Please
Opening Ceremony Monday 13 Gral. San Martin Water Treatment Plant US$ 50
if attending if attending

Welcome Reception Monday 13 Gral. San Martin Water Treatment Plant

Please x Please x free of
if attending if attending charge

Gala Evening Thursday 16 Palacio de las Aguas Corrientes US$ 25 Please x US$ 100
if attending
Subtotal 3:

x if applicable)
Special dietary requirements
Special dietary requirements (please Vegetarian Halal Other (please specify)

10. Total price calculator 11. Accomodation

Amount Amount due: For accommodation options and air travel requests, please
Registration subtotal 1 visit www.waterdevelopmentcongress.org or contact

IWA Membership subtotal 2 OZACCOM+

Email: ozaccom@ozaccom.com.au
Social Function tickets subtotal 3 US$
Address: PO Box 104, RBH Post Office

Delegate Registration deposit (see item 4) QLD 4029, Australia

Tel: +61 7 3854 1611 (GMT+10)
Fax: +61 7 3854 1507

12. Payment Details

Please x your method of payment:
Bank transfer (US$) Bank draft (US$)
BENDIGO AND ADELAIDE BANK LIMITED made payable to OZACCOM PTY LTD in USD
The Bendigo Centre, Bath Lane
Credit card
Bendigo, Victoria, Australia 3550
Swift code: BENDAU3B AMEX VISA MASTERCARD
BSB / Branch Number: 633-000
I authorise IWA to charge the total amount shown above on the credit card,
Beneficiary Account Name: Ozaccom Pty Ltd
details of which are provided below. My signature is for authorisation.
Beneficiary Account Number: USD0299
Credit card number:
Paying by bank transfer: when your payment has been processed,
please forward a copy of the bank transfer receipt by email to Expiry date:
ozaccom@ozaccom.com.au or fax to +61 7 3854 1507 so that we
can identify your payment. Security number*:

Bank fees may be charged by the remitting and/or intermediary

Name on card:
bank(s); IWA will not be responsible for any bank fees charged.
Please ensure your bank includes all bank fees; if they do not,
Signature:
when you register onsite you will need to pay all bank fees
charged.
*Security number / CCV:
AMEX: 4-digit code found on the front of card.
Visa & Mastercard: 3-digit code found on the rear of card.

3 IWA Water and Development Congress & Exhibition Buenos Aires 2017
IMPORTANT INFORMATION

1. Registration Terms & Conditions 2. Payment deadlines

01. Applications for registration must be in writing. Telephone Your delegate registration payment must be received in full by the date to
registration will not be accepted. qualify for these rates otherwise full rates will automatically apply:
02. All prices quoted in this form are in US Dollars (US$). Payment must be
Early Bird discount rates registration closes 1 October 2017
made in US Dollars. Any bank transfer fees and charges are the
Regular registration closes 10 November 2017
responsibility of delegate.
No registrations will be processed after 10 November 2017. After that
03. Registration can not be confirmed until payment has been received.
date, onsite registration rates will apply.
04. Credit card payments will appear on your credit card statement with
International Water Association, London as the merchant.
05. Photocopies of bank drafts cannot be accepted as payment. 3. Cancellation Policy
06. International Water Association (IWA) membership is not
transferable. All cancellations must be made in writing. Telephone cancellations will not be
07. If you are unable to attend you may nominate another person as a accepted.
substitute. You must do this in writing. Delegate registration cancellations received after 01 October 2017 will
08. There is no refund for non-attendance except as outlined in the receive a refund minus a 25% administrative fee and any bank service
cancellation policy. charges. No refunds will be made after 9 October 2017.
09. All tours will only operate if the minimum number of participants is
reached. Congress organisers reserve the right to cancel if this minimum
number is not reached; in which case, a refund will be made.
Please sign here
10. Children must be accompanied by a parent or guardian at all times. Please process my registration as completed on pages 14. I have read and
The parent or guardian assumes all risks and responsibility for the safety agree to the conditions and cancellation policies.
of their children. Parents, please note: the social functions have not
been planned with children in mind. Please sign here
11. The congress organisers have made every effort to ensure the
accuracy of details in this form at the time of printing but reserve Name of the person who signed
the right to alter or delete items from the programme or services as
circumstances require. Place and Date
12. Congress organisers are not liable for any claims, damage or
expense arising out of cancellation, disruption, changes or limitations
to the programme or services as a result of any circumstances outside
Return all the 4 pages to: Enquiries:
their control including weather, terrorist event, travel restrictions, visa OZACCOM+ MADONNA MOULDS
refusals, or biological or health hazard or event. Email: ozaccom@ozaccom.com.au Ozaccom+
13. Delegates are advised to arrange their own travel insurance to cover Address: PO Box 104, RBH Post Office Email: ozaccom@ozaccom.com.au
medical expenses, cancellation and all other risks. The congress QLD 4029, Australia Tel: +61 7 3854 1611 (GMT +10)
organisers, their officers and employees are not liable for, and the Tel: +61 7 3854 1611 (GMT+10)
delegate releases them from, any liability for claims, damage or expense Fax: +61 7 3854 1507
whether in respect of personal injury, death, loss or damage to the
delegate or partner(s).
14. Instructions and other provisions in the registration form, including
the cancellation policy, are part of these registration conditions.
15. The IWA Water and Development Congress & Exhibition 2017 is a
collaborative undertaking between the International Water Association
(IWA) and AySA.