CHECK or COMP 2024 Registration Form January 24-26, 2024 (Wednesday - Friday) Hilton Santa Barbara Beachfront Resort, 633 East Cabrillo Boulevard, Santa Barbara, CA 93103 Paid by(Required) Check Comp Check Number Amount Paid Name(Required) First Last DPR #(Required) Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Phone(Required)Permission to include your name/contact info in the annual proceedings? Yes No Will you be attending the Business Luncheon?Included with your registration Yes No Registration OptionsRegistration (includes Refreshment Breaks, Wednesday Night Reception, Business Luncheon & 2024 CWSS membership)Will you be attending the conference?(Required) Yes Conference Registration QuantityEarly (by 10/1/23) $295 Standard (10/2/2023-12/10/2023) $310 Late or On-Site (after 12/10/2023) $325 Price: $325.00 Quantity If more than one conference attendee, please include names and DPR license number:Student Registration (Non-Competing, ID Required) Quantity Price: $65.00 Quantity Please list each registered student's name:Non-Conference Guest Registration (includes Members Reception & Business Luncheon) Quantity Price: $150.00 Quantity Please include each non-conference registered name:Student Competing Paper/Poster Registration Quantity Price: $0.00 Quantity Please include each competing student's name:Honorary Member Registration Quantity Price: $0.00 Quantity Please include each honorary member's name:Registration Submittal(Required) I agree to the submittal policy.I understand that entering my payment information does NOT register me for this event. Once payment information is submitted, I understand that I MUST click the REGISTER TODAY button in order for my registration to be logged. Failure to do so will result in an inability to attend the conference.Refunds & Cancellations(Required) I agree to the cancellation/refund policy.Registration fees are fully refundable until January 5, 2024 No exceptions after this date! Notice of cancellation must be received in writing, email manager@cwss.orgTotal Membership DuesFor those unable to attend conference, but would like to receive CWSS email correspondence2024 Individual Membership Quantity Price: $35.00 Quantity Untitled