Workshop Registration - A Vision For Clean Water

Please use the form below to register for the upcoming Latrine Workshop, taking place from April 26-28, 2019. (Details can be found here.)

Name*
First Last
Email*
Enter Email Confirm Email
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Country/countries where you carry out or plan to carry out water projects: (if applicable):
Organization that you work with for water projects: (if applicable):
A few words on your experience in developing country projects: (if applicable):
Registration Type*
Please select the type of registration.
Total
$0.00
Promotional Code

If you have a code given to you by AVFCW, please enter it here.
Name
This field is for validation purposes and should be left unchanged.

NOTE: Upon pressing the SUBMIT button above you will be redirected to PayPal to make payment. If you have a PayPal account, log in and pay via their interface. If you do not have a PayPal account, you can click the gray button below the login area to pay direct via credit or debit card. To arrange alternate payment (check, wire transfer, etc.), please send an email to info@avisionforcleanwater.org. All payments are tax-deductible for U.S. citizens, as AVFCW is a 501(c)(3) organization. Please be aware that your registration is not complete until you pay in full.