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AWT Application for Membership

(* required fields)
Company Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Contact Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Best Method(s) of Contacting You
  Contact by Email   Contact by Mail  
  Contact by Phone   Contact by Fax  

 

How did you find out about AWT?
      AWT Member who introduced you to AWT (optional):

      Previous member
      Social media
      AWT website
      Received information in the mail or via email
      Received information relating to an AWT event
      Through a customer or supplier
      Other


What are your expectations in joining AWT?

To help us serve your company and its employees in the best way possible, please provide a brief explanation of why you are electing to join the AWT and what you expect to gain from your involvement.

Membership Wish List

Do you have any suggestions, or a need, for specialized information, resources or events that you would like to see AWT offer and that would benefit the membership as a whole.


Main contact has expressed an interest in serving on the following committee(s):
Certification
Convention
Education
Legislative
Marketing
Membership
Technical
Technical - Boiler
Technical - Cooling
Technical - Pretreatment
Technical - Special Projects
Technical - Waste Water

 

Should you wish to list additional personnel, you will be able to do so online after you application has been approved and an online account has been setup by AWT. You will be notified when the application is approved.

Please submit a brief written statement of your company's mission and services in the box below. This will assist the Membership Committee and Board of Directors with the review of your application and ensure that you are in the appropriate membership category. You may be asked to provide additional information during your probationary status.  

Membership Categories

* Please check the category that best applies to your company and submit the appropriate dues payment (in U.S. dollars).

Please refer to the AWT bylaws for the proper definition of each category.

Water Treatment Company (WTC) - Independent water treatment companies who specialize in industrial and process water treatment of boilers, cooling towers and cooling water systems, wastewater and potable water systems to the end user, with up to $30,000,000 in annual sales and 150 employees or less.

 

Water Treatment Supplier (WTS) - Suppliers of chemicals and equipment to water treatment companies who would qualify as a WTC.

 

 

Total Dues: $
Agreement
     *   My Company hereby applies to become a member of the Association of Water Technologies. I have indicated the category of membership that I believe best suits my company profile. I understand that payment is due, in full, with my application.

In the event that I have selected the incorrect membership category, AWT reserves the right to place me in the category that they deem appropriate for my company.

I fully understand and accept that, should my membership category change due to company size or assets, I will notify AWT and make the applicable changes.

 

Payment Information
Credit Card Type:   *  Master Card    Visa  American Express
Card Holder First Name:   *
Card Holder Last Name:   *
Card Holder Zip Code:   *
Card CVV Code:   *
Credit Card Number:   *
Expiration Month:   *
Expiration Year:   *
 
 

(to activate the 'submit' button, click on the checkbox under the 'Agreement' section above) 


The IRS has determined that dues are non-deductible as a business expense to the extent that they support lobbying activities. The AWT budget projects less than 1% of dues revenue to be spent on lobbying and therefore non-deductible.

Please contact Angela Pike, Member Services Manager, at (240) 404-6477 or apike@awt.org with questions.

Phone: 301-740-1421
Fax: 301-990-9771
Email: awt@awt.org