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Registration
2023 Environmental Superconference Registration
Registrant Information
Name
(Required)
First
Last
Title
(Required)
Organization or company to appear on name tag
(Required)
Phone Number
(Required)
Email
(Required)
First name to appear on name tag
(Required)
Last name to appear on name tag
(Required)
Dietary Restrictions
Yes
No
Dietary Restrictions Detail
Please Select Your Dietary Restriction
Gluten Free
No Dairy
Vegetarian
Vegan
Other Medical Restriction
Select Registration Type
Superconference August 3 and 4
Non-Government - $650
Government Employees & Students - $250
Wednesday night program - August 2
Non-Government - $160
Government - $100
Student - $25
Discount code
Checkout
Total
How would you like to pay?
(Required)
Credit Card
Purchase Order - Government Agencies Only
We do not accept non-governmental checks; purchase orders are only for use by 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 20th 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
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
.
Become a member.
Phone
This field is for validation purposes and should be left unchanged.