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Regular Membership Application

Use this application if you are a water supply corporation, city, district, IOU, etc.
Annual Dues: $1.05 per water meter (Minimum: $350, Maximum: $4,000)
System Name:

Number of Water Meters:

Number of Wastewater Meters:

Amount of regular member dues:
(number of meters x 0.95)

$
You will be billed for this amount.
Type of Membership: New Renewal
Type of
Water Supply: 		Groundwater Surface Water
Mailing Address:
  City: State: Zip:
Physical Address:
  City: State: Zip:

Directions to System:
Phone Number: Fax:
Application
Contact E-mail :
Web Site:
County:

State Senator:

State Representative:
System Contacts:
Please include the name, phone number, e-mail address and mailing address for the following officers and employees. Up to date addresses and phone numbers will ensure that the TRWA magazine and information will be received. TRWA does not sell e-mail addresses.
President: Name: Phone: E-mail:
  Mailing Address:
Vice President: Name: Phone: E-mail:
  Mailing Address:
Secretary: Name: Phone: E-mail:
  Mailing Address:
Treasurer: Name: Phone: E-mail:
  Mailing Address:
Director: Name: Phone: E-mail:
  Mailing Address:
Director: Name: Phone: E-mail:
  Mailing Address:
Director: Name: Phone: E-mail:
  Mailing Address:
Director: Name: Phone: E-mail:
  Mailing Address:
Director: Name: Phone: E-mail:
  Mailing Address:
Manager: Name: Phone: E-mail:
  Mailing Address:
Operator: Name: Phone: E-mail:
  Mailing Address:
Bookkeeper: Name: Phone: E-mail:
  Mailing Address:
Other: Name: Phone: E-mail:
  Mailing Address:
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Texas Rural Water Association | 1616 Rio Grande Street, Austin, Texas 78701
101 Constitution Avenue, NW, Suite 900, Washington, DC 20001
Telephone: (512) 472-8591