Untitled Document
 
Register By Mail

Since 1882, NEWWA has played a leading role in improving public water supplies and advancing the water supply industry. Become a NEWWA member today and keep pace with the changing needs and concerns of the water supply profession, its members, and the general public.

This form will generate a print version of the membership form. You can print this form and mail or fax it to NEWWA.

Also note that this form is for NEW MEMBERS only. If you'd like to renew your membership, please contact Linda Smith.

First Name:
 Last Name:
 Nickname:
Mailing Address:
 Mailing Address Type:
Home  Office
City:
 State:
 Country:
 Zip Code:
Telephone:
 Fax:
 E-Mail:
Title:
 Date of Birth:
Employer's Name:
Sponsoring NEWWA Member's Name:
Membership Category:
    Annual Dues
Individual
 $80.00
Retired
 $25.00
Associate/Consultant < 3 million
$300.00
Associate/Consultant > 3 million $320.00
Junior
 $25.00
Utility with less than 1,000 customer service connections
 $105.00
Utility with 1,001 to 5,000 customer service connections
 $175.00
Utility with 5,001 to 10,000 customer service connections
 $230.00
Utility with 10,001 to 25,000 customer service connections
 $295.00
Utility with 25,001 to 50,000 customer service connections
 $380.00
Utility with over 50,000 customer service connections
 $570.00
 
Payment:
Credit Card  Purchase Order
Credit Card Type (If paying by Credit Card):
AMEX  VISA  Mastercard
Invoice:
I require an invoice.
You can enter credit card information after you have generated and then printed the form.

Click Here to Become a NEWWA Member
 
125 Hopping Brook Rd. Holliston, MA 01746   Tel: 508.893.7979
  
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