Water / Wastewater / Associate Membership Application

Membership Application

System/Company Name:	(Provide Official Name as Organized)
Contact Person Name:
Mailing Address:
City:
State:
Zip:
If Associate Member, Service Provided:
Telephone:
County:
Email:
Chairman:
Mgr/Op Water:
Person to receive all ARWA Correspondence:
Mgr/Op Wastewater:
Person acting as voting delegate for ARWA Annual Conference:
No. Water Customers:
No. Wastewater Customers:

Water Supply:
Purchase Wells Treatment Plant

Wastewater Treatment Type:
Lagoon Activated Sludge Other

Annual Dues: (see below)
Comments:

Water and Wastewater Utilities:

(Lower dues cap is current dues shown above. Upper dues cap is $1,300. Regardless of size, dues should not exceed $1,300).

Associate Members	Annual Dues
Suppliers of Goods and Services	$375
Non-Transient Non Community Systems	$375
Transient Non Community Systems	$375
Industrial Users	$600

Approximately 15% of your annual dues is non-deductible and used to provide professional representation of your interests in the legislature.