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ARWA Membership Application
Your choice - apply online
or on paper

Savable PDF file

You can also complete the membership application on this pdf form which can be completed online, saved to your computer, and emailed to out offices.

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Lead and Copper Rule: Back to the Basics (W)
Jun 22-Pell City
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Membership Application

Water / Wastewater / Associate

Please complete the membership application below. You will have an opportunity to pay online once the application is completed.

* Identifies a Required Field

Contact Information
* Company Name:
* Contact Name:
* Email Address:
* Telephone:
* Mailing Address:
* City:
* State:
* Zip Code:
* Person to receive correspondence:
Utility Members
Mgr/Op Water:
Mgr/Op Wastewater:
Voting Delegate for ARWA Annual Conference:
No. Water Customers:
No. Wastewater Customers:
Water Supply:
      Purchase    Groundwater (wells)    Surface Water (Treatment Plant)
Wastewater Treatment Type:
      Lagoon    Activated Sludge    Other
Associate Members
Service Provided:
(Associate Members)
Annual Dues
* Dues:
Calculated: Utilities with 2,038-5,000 customers should calculate dues at the rate of $0.27p/meter/p/year.
Human Check (Please complete the test below. It helps us to reduce spam.):




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