Colorado Rural Water Association

• Year: 2004
• Title: Colorado Rural Water Association
• Author: National Rural Water Affiliate
• Description: 4th Edition 2004
• Publications - Doc Type: Other

A'
qjjociate Membership Application
Colorado Rural Water Association
Engineering firms, environmental labs, software companies... any businesses affiliated with
the water /wastewater industry... are welcome
Name
Title of Representative
Address
City
Occupation
Phone
E -mail
Please make your check payable
to Colorado Rural Water Association
State Zip
Fax
Associate Member Dues:
Initial One -time Fee .. ..............................$ 50.00
Plus Membership Fee .........................+ $150.00
and mail to: Total $200.00
Colorado Rural Water Association • 176 W. Palmer Lake Dr. • Pueblo West, CO 81007
Questions? Call us anytime • Phone: [phone] • Fax: [phone] • email: crwa @comcast.net
Jtidividua/Membership Application
Colorado Rural Water Association
For those individuals who want to receive publications, training session agenda, and
regulation update information personally. Individual membership is for you.
Name
Address
City
State Zip
Occupation
Phone Fax
County email
Individual membership dues are $25.00 annually.
Please make your check payable to Colorado Rural Water Association and mail to:
Colorado Rural Water Association • 176 W. Palmer Lake Dr. • Pueblo West, CO 81007
Questions? Call us anytime • Phone: [phone] • Fax: [phone] • email: crwa @comcast.net
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