SPEAKER Registration – 2024 Indiana Water Summit | The White River Alliance, Indianapolis IN

Step 1 of 4

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Company/Organization*

FINAL STEPS
Would You Like to Make a Donation to Support Future Indiana Water Summit Events?*

Yes

No
Donation Amount
Any amount helps support the Indiana Water Summit. The linked document provides some information on Water Summit Investor options. Summit Investor Options

Do you want to pay by credit card or check?*

Credit Card

Check
We do not accept American Express.
Payment Transaction Options*
Your transaction is securely being processed with a 3% transaction fee to cover credit card, bank fees, and other processing costs. Please consider chipping in an additional 3% so 100% of your donation amount goes to the White River Alliance.

Yes, I would like to cover the payment transaction fees.

No, I do not want to cover the payment transaction fees.
Total Due (includes transaction fee)

Price: $0.00

Total Due

Price: $0.00

Credit Card

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number
Expiration Date Month Year
Security Code Cardholder Name
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