SCMA 2021 Annual Conference & ExpoExhibitor/Sponsor RegistrationSan Antonio, TX "Solving Membrane Operation and Management Challenges" Opportunity to share your technical knowledge and industry expertise with attendees The Tech Talks / Hands-On Training Session will be held on Thursday, August 27th from 8:30 a.m. to noon. RegistrantPlease refrain from using all caps/uppercase letters, please use sentence structure letter case.Salutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*Suffix (i.e.: Ph.D., P.E., Jr.)Company*Job Title*Address*City*State*AKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip/Postal Code*Country*USAAfghanistanÅland 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone*Cell PhoneEmail* Website Special NeedsFood Allergies (describe below)Gluten Free MealsVegan MealsVegetarian MealsWheelchair AccessOther (describe below)Special Needs Comments Member of(check all that apply) 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 Sponsor OpportunitiesAll sponsorship is available on a first-come, first-serve basis and recorded based upon receipt of registration form and full payment. Networking Event: $2,500 (Limit 2: 1 Available, 1 Sold to Afton Pumps, Inc.)(BBQ/Softball Game: Operators vs. Engineers/Consultants)Includes recognition as the Networking Event (BBQ/Softball Game) Sponsor, and 1 Exhibit package or 2 Full Registrants Attendee Bag Sponsor $2,500 (SOLD to Membrane Services, LLC)Includes Logo on bags, recognition at the event as the Bag Sponsor, and 1 Exhibit Package or 2 Full Registrants Platinum Level: $2,000Includes 1 Exhibit Package or 2 Full Registrants, and Recognition at Welcome Reception & Lunch Events Gold Level: $1,500Includes 1 Exhibit Package or 2 Full Registrants, and Recognition at Lunch Events Silver Level: $800Recognition at Refreshment Breaks Bronze Level: $500 (Limit 2)Recognition at Interactive Break-Out Sessions Awards Sponsor $600 (SOLD to DCS Engineering, LLC)Includes Recognition as Award Sponsor Trivia Prizes Sponsor $500 (Limit 2)Includes Recognition as Trivia Prize Sponsor All sponsors will receive: List of attendees sent via e-mail two weeks prior Acknowledgement in the attendee materials (100-word company description Sign recognition during the program Event Sponsor*Networking Event Sponsor, $2,500SOLD - Attendee Bag Sponsor, $2,500Platinum Sponsor, $2,000Gold Sponsor, $1,500Silver Sponsor, $800Bronze Sponsor, $500SOLD - Awards Sponsor, $600Trivia Prizes Sponsor, $500No SponsorshipSponsorship Package: Your Choice*Included in the sponsor fee.Exhibit Package (Includes 1 Attendee with Table-Top Exhibit)2 Full AttendeesAre you the Exhibit Attendee?*Yes, the same as aboveNo, different than aboveCompany Description*100-word company descriptionUpload Company Logo Exhibit OpportunitiesAll sponsorship is available on a first-come, first-serve basis and recorded based upon receipt of registration form and full payment.All Table Top Exhibitors will receive: One 6’ Table (Chairs are available upon request) One full attendee registration to the Conference Electricity is available from the Hotel for an additional fee List of attendees sent via e-mail two weeks prior Exhibit Space*Spaces are selected onsite - first come, first served.Table Top Exhibit, $750No ExhibitAre you the Exhibit Attendee?*Yes, the same as aboveNo, different than above Tech Talks / Hands-On Training AbstractThe option to participate requires an Abstract/Bio Form since your proposed topic must be approved. Submit by Wednesday, July 29th, as a Sponsor/Exhibitor.Opportunity to submit a Tech Talks / Hands-On Training Abstract*Yes, send me a link to submit an AbstractNo, I would not like to submit an Abstract/BioClick Here to submit your Tech Talks / Hands-On Training Form Total Registration FeeTotal Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf paying by Check, make payable to South Central Membrane Association, and mail to 2409 SE Dixie Hwy., Stuart, FL, 34996. Comments/QuestionsComments Cancellations/RefundsWritten cancellation requests received by SCMA on or before July 27, 2020 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after July 28, 2020 - 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.