Membership Application

Membership Fees are $450 annually for Associate Membership. Please complete the form below.

First Name:*
Last Name:*
Company Name:
Address 1:*
Address 2:
City:*
State:*
Zip:*
Phone:*		() -
Fax:		() -
Email:*
Website:*
Please provide a brief description of the services you provide to the water utilities; including product manufactured or represented:*
I hereby apply for Associate Membership in National Association of Water Companies and agree to abide by the principles and objectives of this association and all rules and regulations as long as this membership is in force.*