Streamline - Spring 2015 - (Page 43)

Virginia Rural Water Association MEMBERSHIP APPLICATION Name of Organization: _____________________________________________________________________________________________ Contact Person (Delegate): _______________________________ Title: ______________________________________________________ Mailing Address: __________________________________________________________________________________________________ Physical Address: __________________________________________________________________________________________________ City/State/Zip: _________________________________________ County: ____________________________________________________ Phone: _______________________________________________ Fax: _______________________________________________________ Email: ___________________________________________________________________________________________________________ All members are billed annually on July 1. Members joining after September will pay pro-rated amount for the remainder of the year. Please follow the charts below to determine your membership rate. Membership Type Water/Wastewater (Based on # of Connections*) ________ Individual: $75/yr. _________ * Voting: $300/yr. 1-1000 Connection ________ Class VI Operators: $150/yr. $350/yr. 1001-2000 ________ Corporate: $400/yr. $400/yr. 2001-3000 ________ Associate: $300/yr. $450/yr. 3001-4000 $500/yr. 4001-up ________ # of Connections* Total Amount Due: ___________ Membership Categories: VOTING: A non-profit, public entity serving a population of less than 10,000. This includes counties, county schools systems, service authorities, water and sewer departments and generally any non-profit system with board elected from within. ASSOCIATE: A private or investor-owned utility or servicing a population of 10,000 or more. This includes state and federal agencies and other private utilities. CORPORATE: Entity that supports the water and/or wastewater industry. The annual membership fee is $400 for a parent company; $250 for each subsidiary; with a maximum umbrella of $1,000 or they may take advantage of the New "Booster Club" package. Individual Member Join between July 1-Sept. 30 = $75 Join between Oct. 1-Dec. 31= $56.25 Join between Jan. 1-March 30 = $37.50 Join between April 1-June 30 = $18.75 Class VI Operator Member Join between July 1-Sept. 30 = $150 Join between Oct. 1-Dec. 31= $112.50 Join between Jan. 1-March 30 = $75 Join between April 1-June 30 = $37.50 Associate Members Join between July 1-Sept. 30 = $300 Join between Oct. 1-Dec. 31= $225 Join between Jan. 1-March 30 = $150 Join between April 1-June 30 = $75 Voting: Water/Wastewater (Based on # of Connections) 1-1000 1001-2000 2001-3000 3001-4000 4001-up Join between July 1-Sept. 30 $300 $350 $400 $450 $500 Join between Oct. 1-Dec. 31 $225 $262.50 $300 $337.50 $375 Join between Jan. 1-March 30 $150 $175 $200 $225 $250 Join between April 1-June 30 $75 $87.50 $100 $112.50 $125 Prorated Membership Dues Individual $ ____________ Class VI $ _____________ Associate $ _____________ Voting $ _______________ # Connections __________ Total Amount Due = _____ Payment Information Payment Methods: Check: _____________ Credit Card Visa : ____________ MC: ________________ (Make checks payable to: VRWA) Card #: ____________________________ Expiration Date: _____________ CID#: ___________________ (3-digit # on back of the card) Name as it appears on card: ________________________________________________________________________ (Please print clearly) Billing Address: _______________________________________ City: ____________________ State:_______ Zip: __________________ Signature: _______________________________________________________________________________________________________ Email Address to Send Receipt: _____________________________________________________________________________________ Total to be Charged: $ _____________________ Check Number: _______________ Total Amount Enclosed: $ _____________________ Mail/Fax completed application to: Virginia Rural Water Association | 2138 Sycamore Avenue | Buena Vista, Virginia 24416 | Fax: (540) 261-2465 Questions? Call (540) 261-7178 or visit www.vrwa.org http://www.vrwa.org

Table of Contents for the Digital Edition of Streamline - Spring 2015

From the President: Power Failure
From the Executive Director: Highlights from 2014
The Sustainability Managed Utility
Communication… Say What?
Flushing Away the Ebola Threat
Hazard Communication Standards – Guidelines for OSHA Compliance
State Water Control Board Approves Controversial Permit
VRWA Said Goodbye to Past Executive Director
USDA Rural Development
The RATES Program
Adequate Rates versus Affordability
NRWA Recap
Debt Refinancing: An Alternate Source of Capital
How the Cloud is Revolutionizing the Future of Water Utility Management
Southern Corrosion Supports Victory Junction
Throwing My Loop: Call Me Anytime
Wastewater Math
Booster Club
eLearning Benefits
Membership Application
Do You Know What Your VRWA Benefits Are?
VRWA Mailbag
New Members
Board of Directors
VRWA Committees
Index to Advertisers/ Ad.com

Streamline - Spring 2015

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