FRWA Associate Membership Application Here are some of the benefits you will enjoy as an Associate member: Annual Membership Directory Numerous training sessions each year Legislative and regulatory representation for the industry More than 400 systems visited per month Promotion of funding for projects (FRWA Financing Program) North Florida Conference with Alabama Rural Water Association One Active member list or labels per year (available upon request) Annual Conference (must be Associate member) Newsletter advertising (must be Associate member) Company listed on FRWA website and linked to your website when you have one ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ This is a non-voting membership. Please detach and mail application below with your payment: Operation Name_______________________________________________________________________________ Contact Person_____________________________________ Title_______________________________________ Mailing Address_______________________________________________________________________________ Physical Address_______________________________________________________________________________ City____________________________ County_____________________State________Zip____________________ Phone___________________________Fax________________________Email______________________________ In an effort to better serve you and promote your services, please fill in the following by selecting the category that best describes the services you provide. If more than one category is picked, we will choose the one which we think best suits your organization. You will be placed on our website according to the category selected. If you have a website and wish for us to link your name on our page to your site, please submit your URL: ______________________________________________________________________________________ ❒ Accounting/Financial Services ❒ Association ❒ Attorneys ❒ Chemical Supplier/Sales ❒ Chlorine Equipment ❒ Computer/Billing Systems ❒ Consultants ❒ Environmental Labs ❒ Equipment Supplier ❒ Hydrants/Valves ❒ Inflow and Infiltration Reduction/Manhole Rehab ❒ Telemetry Systems ❒ Treatment Systems ❒ Utility Operations/Contract Maintenance ❒ Insurance ❒ Line Cleaning ❒ Meters/Meter Boxes ❒ Storage Tank/Inspections/ Associate Membership Dues (annually): $175 AMOUNT ENCLOSED $_________________ Please make checks payable to: Florida Rural Water Association 2970 Wellington Circle Tallahassee, FL 32309 Tel: 850.668.2746 Operators ❒ Wastewater Treatment ❒ Water Treatment ❒ Well/Pumps ❒ Wet Taps