World Water Congress & Exhibition 2018

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World Water Congress & Exhibition 2018 16-21 SEPTEMBER 2018 TOKYO JAPAN DELEGATE REGISTRATION 1. Delegate Details Family Name First Name (for badge) Prof / Dr / Mr / Ms / Mrs (please indicate) 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) Fax LinkedIn Address Telephone Email Address (to confirm your registration) Twitter Account Mobile 2. Your Profession Your organisation (please x ONE) Consultancy / Contracting Educational Institution / University Government Large Water-using Industry Manufacturer / Supplier NGO Regulator Research / Analytical Lab Utility Other (please specify) Primary work role (please x ONE) Administrator Communicator Engineer / Technical Human Resources Manager Policy Advisor Product Developer Researcher / Scientist Sales & Marketing Student Other (please specify) Education (please x ONE) PhD PhD Student Master Degree Bachelor Degree Undergraduate Student Other (please specify) 3. Privacy Thanks for signing up for the IWA World Water Congress & Exhibition 2018. We d love to keep you informed about IWA s other events and activities worldwide. Please tick the box below if you re happy to receive these updates by email. I would like to receive emails about other IWA events and activities. x IWA takes your privacy seriously. The details you provide are stored securely, and you can opt out of our mailing list at any time by clicking unsubscribe in any emails we send you. Your data is never sold to third parties and we will erase it at your request. Please note that photos and video from the Congress may be used in IWA s publicity materials elsewhere, such as on our website. If you don t want to appear in publicity materials, please let us know before the event. 1

4. Visa Information / Invitation Letter Presently, the Japanese Ministry of Foreign Affairs grants Visa waivers/ exemptions to approximately 68 countries with special agreements with Japan. If you are unsure of whether or not you need to apply for a short-term Visa to enter Japan in order to attend the IWA WWC&E 2018, please consult this page. If your country is not listed, then you will need to apply for a Visa. You can contact the Embassy of Japan, or the nearest Consulate of Japan in your home country to receive guidance on the application process and necessary document you will need, please refer here for more information. Alternatively, we recommend you apply for your Visa through a local agency, it is quicker and easier to obtain a tourist visa than to get a visa through the Japanese Embassy and Consulate. IWA WWC&E 2018 has assigned Convention Linkage as the official local Japanese agency to assist with visa applications and processing. This optional service is available to Congress participants at an additional cost. Should you wish to use this service please contact ozaccom@ozaccom.com.au and you will be sent the agencies details. Please note that you will still need to register for the congress before contacting Convention Linkage. Please x if applicable. I wish to pay my registration fees in full now. Please fill in your registration selection and fee in item 5 below Please x if applicable. I cannot pay my delegate registration fee in full before having obtained a visa to enter Japan and wish to pay a non-refundable deposit of 50 to obtain confirmation of my participation in the Congress. The balance 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 50 deposit will be deducted from this price. Please fill in the deposit fee of 50 in the Price Calculator (item 10). Please go to page 4. 5. Registration Fees Super Early Bird applies until 30 April 2018 Early Bird fee applies from 1 May until 30 June 2018 Regular fee appliesfrom 1 July to 9 September 2018 Onsite fees applies from 10 September 2018 onwards Super Early Bird Super Early Bird LIC Early Bird Early Bird LIC Regular Regular LIC Onsite Onsite LIC Amount Presenter IWA member 895 (1) Presenters can register at Presenter non-member the Super Early Bird rate 1,095 outlined below 545 645 - - - - - - - - Presenter student 445 370 - - - - Delegate IWA member 795 (1) 495 995 (1) 595 1,095 695 1,245 795 Delegate non-member 995 595 1,195 695 1,295 795 1,445 895 Delegate Student 395 (2) 345 495 (2) 395 545 (2) 445 645 545 All registration prices above include attendance at the welcome reception; congress sessions; exhibition; and lunches, morning and afternoon teas. If you are a Young Water Professional (YWP), the workshop on Sunday is also included. 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. 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/wp-content/uploads/2017/12/ Benefits-and-Country-Classification-1.pdf and scroll down to the bottom of the page. Accompanying Person The accompanying person s registration includes attendance at the opening ceremony and welcome reception; partner activities and gala dinner. Kindly note the accompanying persons are not allowed to participate in the congress working sessions. Family name: First name: Price Nr. of Persons Amount Mobile number: Accompanying person 200 E-mail address: Subtotal 1: 2

6. Membership Discounted registration is only applicable for current, paid IWA individual members and employees of IWA corporate members. Are you an individual member of IWA? Yes / No (please indicate) If yes, please quote the membership no.: Is your company / organisation a corporate member of IWA? Yes / No (please indicate) If yes, please quote the membership no.: Membership Type High-income Low-income / LIC Individual (1 year - 2018) 111 56 Individual (2 year - 2018 /19) 199 100 Student / retired (1 year - 2018) 55 40 Student / retired (2 year - 2018 /19) 98 72 If no and you wish to apply for membership and get a registration discount, 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 Subtotal 2: 7. Social Functions extra Event Date Venue delegate partner person Opening Ceremony & Sunday, Please x Please x Tokyo Big Sight 20 Welcome Reception 16 September if attending if attending Cultural Evening Gala Evening Tuesday, 18 September Thursday, 20 September Special dietary requirements Special dietary requirements (please x if applicable) Kiyosumi Gardens 75 75 75 Please x Hotel Nikko Daiba 50 if attending 100 Vegetarian Halal Other (please specify) Nr. of persons Amount Subtotal 3: 8. Project Innovation Awards Date: Monday 17 September Venue: Hilton Tokyo Odaiba Prices: Member: 75* Non-Member: 100* * Tickets are limited and will be allocated on a first come, first served basis. To purchase tickets visit: www.iwa-network.org/iwa-project-innovation-awards/ 9. Training Training Date Category Price Selection Delivering Regulatory Excellence in the Water-Energy Nexus Monday 17 September Performance assessment and improvement in urban water services: The IWA approach Tuesday 18 September Climate Smart Utilities: Tools for Adaptation (Half Day) Tuesday 18 September Non-Revenue Water Management in Low and Middle Income Countries Wednesday 19 September Infrastructure asset management in light of ISO 5500x standards Thursday 20 September More information on www.worldwatercongress.org/trainings Subtotal 4a: 3

9. Training - Post Congress Training Date Category Price Selection IWA member 300 The Human Rights to Safe Drinking Water and Sanitation (HRWS): focus on ensuring drinking water quality Friday 21 September Non IWA member 400 IWA LIC member + Students 250 Non IWA LIC + Students 350 IWA member 350 Modelling Activated Sludge Plants (Two Full Days) Friday 21 & Saturday 22 September Non IWA member 450 IWA LIC member + Students 250 Non IWA LIC + Students 350 Subtotal 4b: 10. Technical Tours Technical Tours Date Price Selection Tokyo Waterworks Human Resources Development and Inherited to Next Generation Friday 21 September 40 Technology and Products of Japanese Company - Tour of Japan s Largest Factory of Steel Pipes for Water Friday 21 September 40 Water Flow in Tokyo - Water Intake, Purification and Distribution Friday 21 September 70 Flood Control Infrastructure by Utilizing Urban Space and Inherited to Next Generation by Tokyo Sewerage Friday 21 September 70 Tokyo Sewerage s Sewage Treatment and Human Resources Development Friday 21 September 40 Subtotal 5:

11. Accomodation 12. Total price calculator For accommodation options and air travel requests, please Delegate Registration Deposit (see item 4) Amount Amount due: visit www.worldwatercongress.org or contact: IWA Membership subtotal 1 OZACCOM+ Email: ozaccom@ozaccom.com.au Address: PO Box 104, RBH Post Office Delegate Registration subtotal 2 Social Function tickets subtotal 3 QLD 4029, Australia Tel: +61 7 3854 1611 (GMT+10) Training subtotal 4a & 4b Fax: +61 7 3854 1507 Technical Tours subtotal 5 13. Payment Details Please x your method of payment: Bank transfer ( ) BENDIGO AND ADELAIDE BANK LIMITED The Bendigo Centre, Bath Lane Bendigo, Victoria, Australia 3550 Swift code: BENDAU3B BSB / Branch Number: 633-000 Beneficiary Account Name: Ozaccom Pty Ltd Beneficiary Account Number: EURO257 Paying by bank transfer: when your payment has been processed, please forward a copy of the bank transfer receipt by email to ozaccom@ozaccom. com.au or fax to +61 7 3854 1507 so that we can identify your payment. Bank fees may be charged by the remitting and/or intermediary bank(s); IWA will not be responsible for any bank fees charged. Please ensure your bank includes all bank fees; if they do not, when you register onsite you will need to pay all bank fees charged. Bank draft ( ) made payable to OZACCOM PTY LTD in euros ( ) Credit card AMEX VISA MASTERCARD I authorise IWA to charge the total amount shown above on the credit card, details of which are provided below. My signature is for authorisation. Credit card number: Expiry date: Security number*: Name on card: Signature: *Security number / CCV: AMEX: 4-digit code found on the front of card. Visa & Mastercard: 3-digit code found on the rear of card. 5

IMPORTANT INFORMATION 1. Registration Terms & Conditions 2. Payment deadlines 01. Applications for registration must be in writing. Telephone registration will not be accepted. 02. All prices quoted in this form are in euros ( ). Payment must be made in euros. Any bank transfer fees and charges are the responsibility of delegate. 03. Registration cannot be confirmed until payment has been received. 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. 06. International Water Association (IWA) membership is not transferable. 07. If you are unable to attend you may nominate another person as a substitute. You must do this in writing. 08. There is no refund for non-attendance except as outlined in the cancellation policy. 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. 10. Children must be accompanied by a parent or guardian at all times. The parent or guardian assumes all risks and responsibility for the safety of their children. Parents, please note: the social functions have not been planned with children in mind. 11. The congress organisers have made every effort to ensure the accuracy of details in this form at the time of printing but reserve the right to alter or delete items from the programme or services as circumstances require. 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 their control including weather, terrorist event, travel restrictions, visa refusals, or biological or health hazard or event. 13. Delegates are advised to arrange their own travel insurance to cover medical expenses, cancellation and all other risks. The congress organisers, their officers and employees are not liable for, and the delegate releases them from, any liability for claims, damage or expense 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 World Water Congress & Exhibition 2017 is a collaborative undertaking between the International Water Association (IWA) and Bureau of Waterworks, Tokyo Metropolitan Government, Bureau of Sewerage, Tokyo Metropolitan Government, Japan Society on Water Environment, Japan Water Works Association, Japan Sewage Works Association and IWA Japan National Committee. Your delegate registration payment must be received in full by the date to qualify for these rates otherwise full rates will automatically apply: Super Early Bird registration 30 April 2018 Early Bird discount registration closes 30 June 2018. Regular registration closes 9 September 2018 No registrations will be processed after 9 September 2018. After that date, onsite registration rates will apply. 3. Cancellation Policy All cancellations must be made in writing. Telephone cancellations will not be accepted. Delegate registration cancellations received between 30 June and 13 August 2018 will receive a full refund minus a 25% administrative fee and any bank service charges. No refunds will be made for cancellations received on or after 14 August 2018. Substitute delegates will be accepted without charge. Please sign here Please process my registration as completed on pages 1 4. I have read and agree to the conditions and cancellation policies. Please sign here Name of the person who signed Place and Date Return all the 4 pages to: Enquiries: OZACCOM+ MADONNA MOULDS Email: ozaccom@ozaccom.com.au Ozaccom+ Address: PO Box 104, RBH Post Office Email: ozaccom@ozaccom.com.au QLD 4029, Australia Tel: +61 7 3854 1611 (GMT +10) Tel: +61 7 3854 1611 (GMT+10) Fax: +61 7 3854 1507 6