2022 Environmental Superconference Registration

Registrant Information

Name(Required)

First Last

Title(Required)

Organization or Company(Required)

Phone Number(Required)

Email(Required)

Name on Name Tag

Dietary Restrictions

Yes

Dietary Restrictions Detail

Select Registration Type

Registration Type - Superconference August 4 and 5(Required)

Non-Government - $550

Sponsor $550

Government Employees & Student Rate - $250

Planning Committee Member - $250

Speaker

Add Wednesday night program - August 3

Non-Government - $160

Government - $100

Planning Committee Member - $100

Student - $25

Speaker

Add Wednesday night program - August 3

Speaker - $0.00

Become a member. Registration rates will increase by $25 on July 15.

Checkout

Total

How would you like to pay?(Required)

Credit Card

Purchase Order

We accept Purchase Orders from Texas and U.S. government agencies registering 10 or more attendees. For payments from governmental entities only; purchase orders must be received by superconference@haynesboone.com no later than July 20 or registration will be cancelled; contact superconference@haynesboone.com. if this will be a problem.

PO # and/or Department Name(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Discount code

Credit Card(Required)

Card Details

Cardholder Name

All registrants will receive a confirmation email. If you do not receive an email within 2 hours of online registration, please check your spam folder. If you need further assistance please contact to superconference@haynesboone.com.

Phone

This field is for validation purposes and should be left unchanged.