Summit Behind the Scenes

Name*

Address*

Email*

Phone

Company/Organization*

What is your discipline/role?*

Other

Which sector do you work in?*

Public
Private
Not Applicable

REGISTRATION OPTIONS
Two-day Option - August 12 & 13 - includes both Regional Planning Forum & Main Summit Event
One-day Only - August 12 - Regional Planning Forum
One day Only - August 13 - Main Summit Event

August 12 & 13 - Two Day Registration - Regional Planning Forum & Main Event

Select this option if you plan on attending both days - August 12 and 13.
Business & General Two-Day Registration - $40
Non-profit organizations & college/university employees - $30
Two-day registration for federal/state, local elected officials, government employees, students & speakers - FREE

August 12 ONLY - Regional Planning Forum Registration

Select this option if you ONLY plan on attending August 12.
FREE for ALL!

August 13 ONLY - Summit Main Event Registration

Select this option if you ONLY plan on attending on August 13.
Business & General Public - $40
Non-profit organizations &, college/university employees - $30
Federal/state or local elected officials, government employees, students & speakers - FREE

Do you plan on attending happy hour in the Rathskeller Bier Garten beginning at 5:30 pm on August 13?*

Happy hour in the Rathskeller Bier Garten is an In-person, outdoor, socially-distanced event. It will include live music, free drinks and snacks.

Yes, I plan to attend for the networking happy hour
No, I don't plan to attend for the networking happy hour

Would You Also Like To Become An ‘Indiana Water Investor’ By Giving A Donation To Support Future Indiana Water Summits?

Yes

Donation Amount

Other Donation Amount

Enter a contribution amount of your choice.

What Type of Donation is this?*

Name of Individual*

First Last

Name of Family or Business*

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

Credit Card
Check (please select this option if you chose Federal/State or local elected officials, government employees, students & speakers option above)

Payment Transaction Options*

Yes, I would like to cover the payment transaction fees
No, I don't want to cover the payment transaction fees

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.

Total Amount Due (including transaction fees)

Price: $0.00

Total Amount Due

Price: $0.00

Credit Card

We do not accept American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Collection Type

Programs

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