SCMA Online Training Sponsorship RegistrantPlease refrain from using all caps/uppercase letters.Salutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*Company*Job Title*Address*City*State*Not Applicable, InternationalALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip/Postal Code*Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUSAUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweTelephone*CellEmail*Enter registered sponsor's email address Website Member of SCMA AMTA Billing Contact InformationEnter billing contact information, if applicablePlease be advised: SCMA has changed the mailing address to 2409 SE Dixie Hwy., Stuart, FL 34996Billing Contact NameBilling Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Sponsorship Opportunities Online Training Sponsor List of Participants Logo Recognition throughout the Webinar Company Branding on Event Materials, Website and Online Training Platform Sponsor Recognition in Newsletter/Event Section Sponsor Recognition via Social Media Event Promotions (1) Complimentary Registration to attend Webinar Series SCMA Online Training RO Operations & Maintenance | 4-Part Series: $500 eachJanuary 2021 | 12:00 pm – 2:00 pm Central Part 1: Wednesday, Jan. 20th Part 2: Friday, Jan. 22nd Part 3: Wednesday, Jan. 27th Part 4: Friday, Jan. 29th RO Operations & Maintenance | 4-Part Series: $500 eachApril 2021 | 12:00 pm – 2:00 pm Central Part 1: Wednesday, Apr. 21st Part 2: Friday, Apr. 23rd Part 3: Wednesday, Apr. 28th Part 4: Friday, Jan. 30th Surface Water Monthly Report Training (SWMOR) | 3-Part Series: $400 eachMarch 2021 | 12:00 pm – 2:00 pm Central Part 1: Monday, Mar. 8th Part 2: Wednesday, Mar. 10th Part 3: Friday, Mar. 10th Surface Water Monthly Report Training (SWMOR) | 3-Part Series: $400 eachJune 2021 | 12:00 pm – 2:00 pm Central Part 1: Monday, Jun. 7th Part 2: Wednesday, Jun. 9th Part 3: Friday, Jun. 11th Membrane Operators Sharing Our World with the World | Op's World Series: $175 eachOp's World Series 2021 | 12:00 pm – 1:30 pm Central (except 3rd Quarter) 1st Quarter: Wednesday, Feb. 10th2nd Quarter: Wednesday, May 19th 3rd Quarter: Friday, Aug. 27th is included in the SCMA Annual Conf. & available for Operators Only. 4th Quarter: Wednesday, Nov. 3rd Event SponsorOnline Training Sponsor4-Part3-Part2-PartIndividual RO Operations and Maintenance | 4-Part Series A discounted rate will apply when Sponsoring both 'RO Operations and Maintenance' Series for 2021.Both RO Operations and Maintenance | 4-Part Series: $500 Both RO Operations and Maintenance Series, $900 RO Operations and Maintenance | 4-Part Series January 2021 Series, $500 April 2021 Series, $500 SWMOR | 3-Part Series A discounted rate will apply when Sponsoring both 'SWMOR' Series for 2021.Both Surface Water Monthly Report Training (SWMOR) | 3-Part Series Both SWMOR Series, $720 Surface Water Monthly Report Training (SWMOR) | 3-Part Series March 2021 Series, $400 June 2021 Series, $400 Membrane Operators Sharing Their World with the World | Op's World Series A discounted rate will apply when Sponsoring the year for 'Op's World' Series 2021. 3rd Quarter: Friday, August 27th is included in the SCMA Annual Conf. & available for Operators Only.Membrane Operators Sharing Their World with the World 2021 | 4 Quarters Op's World Series 2021, $640 Membrane Operators Sharing Our World with the World | Quarterly Series 1st Quarter - Feb. 10th, $175 2nd Quarter - May 19th, $175 3rd Quarter - Aug. 27th, $175 4th Quarter - Nov. 3rd, $175 Will you be the Comp. Attendee?*(1) Complimentary Registration to attend Series is included with the Sponsorship.I will be the Comp. Attendee to SeriesAnother will be the Comp. Attendee to Series; send Comp. Registration link Company Logo and DescriptionCheck box(s) to upload/update logo or description Company Logo Company Description Upload Company Logoplease provide a High Resolution, 300 DPI or greater Drop files here or Company Descriptionplease provide one paragraph – 150 words or less Attendee RegistrationI will be the Comp. AttendeeComp. Full Series Online Training, $0Online Training Policy* Online Training Technical Requirements SCMA provides each attendee with the link to access the online training along with instructions. Participants are responsible for ensuring that: they have the needed equipment; it is functioning; it is compatible with the online training system; and they know how to use it. SCMA is not responsible for technical support before, during or after the online training. For technical support, please visit https://support.goto.com/webinar. SCMA’s refund policy excludes attendees experiencing technical difficulties or equipment failures. SCMA online trainings are conducted using GoToWebinar. It is highly recommended that you use the link provided to the GoToWebinar website to view compatibility requirements prior to the scheduled training. You must have access to a computer with an internet connection and an audio connection (phone line or computer mic and speaker). It is recommended that you participate from a quiet location where there will be few distractions. Online Training Continuing Education Units Requirements Inability to complete CEU requirements will result in no CEU’s being issued, regardless of the reason. • Attendees must pre‐register and provide a valid certification number. • Each attendee must be logged into a separate computer so that their participation may be accurately tracked. • Attendees must be logged in at the beginning and must remain logged in through the end of the session. • Attendees must promptly respond to brief quizzes or polling questions that appear randomly throughout the online training. • No partial credit will be given. • After the online training, SCMA staff will email CEU documentation to attendees meeting the CEU requirements. Reports will also be sent to the appropriate certification agencies. Online Training Recordings Online training participants should be aware that the online training they attend will be recorded. SCMA holds a perpetual license to copy, distribute, make videos, DVDs, CDs, publish, reproduce the recording, to post the recording on its website, to sell the recording or any copy or derivative thereof, to market and publicize the recording, all without any fee or compensation paid or to be paid to participants by SCMA. Prohibition of Recording: Recording of any sounds or visual images and use of any recording device now known, or later developed, is prohibited unless prior written permission has been expressly granted by SCMA. I agree to the Online Training Policy Personal / Preferred Email Address to send Virtual Access LinkIf providing an alternate email other than listed above for receiving virtual access, provide the email address here. Contact Hours/CEUs AvailableNeed Contact Hours/CEUs?*Included in registration fee.Yes, Contact Hours/CEUs RequiredNo, Contact Hours/CEUs Not RequiredI acknowledge that to receive CEU credit, I must:* I acknowledge that to receive CEU credit, I must: ✱ Be in attendance/logged in and actively engaged during the Online Training (watching the recorded video of the event is not applicable) Provide valid license information Receive CEU credit only for actual time attended License State*License TypeLicense LevelLicense #* Total $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceMake payable to:South Central Membrane Association2409 SE Dixie Hwy.Stuart, FL, 34996. Comments/QuestionsComments Cancellations/RefundsWritten cancellation requests received on or before Sept. 26, 2014 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after Sept. 27, 2014 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. SCMA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each enrollee if a program is cancelled. If a program is not held, SCMA’s liability is limited to the refund of the program fee only. CAPTCHAPlease refer to SCMA’s Privacy Policy if you have any questions regarding your preferences. CommentsThis field is for validation purposes and should be left unchanged.