2011 Pesticide & Ag Plastics
Stewardship Conference

The Pesticide Stewardship Alliance
SPONSOR REGISTRATION FORM
Westin Riverwalk - San Antonio, TX

(fields in red are required)
Contact Information
Name Additional Requests or Comments
Organization
Email
Phone
Address MEALS: Breakfast, lunch and the events listed below are included in the price of registration. Family members and guests are welcome at events. Please indicate number attending the events.
Opening Reception & Information Exchange,
Sunday, February 13
Grand Reception,
Monday, February 14
Off-site event,
Tuesday, February 15
City
State/Prov
Postal Code
Country

 

Sponsor Information
  Corporate Sponsor
$5,000+
     Conference Sponsor
$1,000 - $4,999
     Individual Sponsor
$500 - $999
 


  • Free annual membership, for one year, for three members of the sponsoring organization.
  • Free booth space at the Annual Stewardship Conference.
  • Recognized on the TPSA home page and all conference sponsor materials.
  • Special recognition at the Annual Stewardship Conference and annual members meeting.
  


  • Free annual membership, for one year, for one member of the sponsoring organization.
  • Free booth space at the Annual Stewardship Conference.
  • Recognized on the TPSA home page and all conference sponsor materials.
  • Special recognition at the Annual Stewardship Conference and annual members meeting.
  


  • Individual sponsors are recognized during the annual conference.
  • Free booth space, if requested and available, at the Annual Stewardship Conference
 
Membership - The Pesticide Stewardship Alliance - 2011 Membership Form
Membership Type - If appropriate, make a selection of membership type:
Individual – $75 Value - Free to Sponsors contributing $500-$4,999.
(Provide full name, address, phone number and email below)

(Listed for TPSA Membership)
Organization – $200 Value – (3 members per organization is an organizational membership) - Free to Corporate Sponsors contributing $5,000 or more.
(Provide full names, addresses, phone numbers and email below)

(Listed for TPSA Membership)
     
Select any and all categories that represent your personal/professional interests or affiliation
End Users (individuals, business, or applicator/commodity associations)
Non-US or International Government Agency
US Environmental Protection Agency
US Local, State, or Federal Government Agency
Public and Environmental Health (individuals, NGOs)
Private or Public Institutes (teaching, research, extension)
Pesticide Industry
Pesticide Container Management Industry
Waste Management Industry
Agricultural Plastics
Unaffiliated/Undeclared
   
Conference Registration
$400

Full conference registration(s)
($400)

Third attendee FREE for government and not-for-profits reduction
(select at least three attendees above)
$200

One day registration - Monday, Feb. 13
$200

One day registration - Tuesday, Feb. 14
  FREE Table top display or
10' Display
($100)

Registration fee reduction for session presenters
($50)

Registration fee reduction for poster presenters
(limit one deduction/poster)

Payment - pay with credit card or if paying by check, make payment to TPSA with a copy of the registration form and mail to TPSA, 11327 Gravois Road, Suite 201, St. Louis, MO 63126.

Cancellations/refunds requested in writing, less $50 administration fee, will be made on/or before February 5th. After February 5th only 50% of the registration fee will be refunded along with a $50 administration fee.
Thank You   Total
 
Hotel Reservations

The Westin Riverwalk Hotel is located at 420 West Market St., San Antonio, TX, USA 78205.

The room rates are:

  • Government Rate - $106.00 single or double occupancy plus taxes.
  • Non-Government Rate - $145.00 single or double occupancy plus taxes.

Reservations may be made by calling the Central Reservations office in the continental U.S. at 1-888-627-8396 or the hotel directly at 210/224-6500. Be sure to identify yourself as part of The Pesticide Stewardship Alliance or TPSA Group. Reservations may also be made online at:

The cut-off date for hotel reservations is Tuesday, February 1, 2011.

Return to TPSAlliance.org