Colorado Water Quality Association

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CWQA MEMBERSHIP APPLICATION

Count Me In!

To join the CWQA (Colorado Water Quality Association), fill in this form, then click the “submit” button to display your completed application and send the form. Simultaneously print a copy of your membership application and send it along with your check for your appropriate membership fee to the address listed below.

Membership fees are on a calendar year basis. A full year's membership is only $100. Your membership will be active once payment has been received and you will be added to the active members roster for added exposure of your business and commitment to our industry.

Please complete the following information:

Fields in BOLD must be filled in.

Company Name:
Category of Business:
Contact:
WQA Certified:
Address:
Address:
City:
State:
Zip Code:
Phone:
Fax:
E-mail address:
Business Web Site URL:
Member of National WQA?
Date of Submission:
Membership Type:
Number of memberships:
Names of Individual Members: Enter individual names one per row.
Link your web site to CWQA?	Yes (per calendar year and only available with paid yearly membership fee)
WQA Society Subscription?	Yes (free with individual membership)
Total Membership Fee (per calendar year)	$100.00 CWQA Membership Only $125.00 CWQA Membership plus Web Site Link
Non-Individual Memberships If you have questions about the fee(s), feel free to contact our treasurer or any of the officers of the CWQA. Clicking the “submit” button will e-mail a copy of your application directly to us so we may begin processing your application while we are waiting for your check. It will also generate a “printer friendly” page that you can print with the “Print...” function of your browser. Mail your printed application and the appropriate membership fee to: CWQA P.O. Box 83 Lamar, CO 81052 Individual Members Individual memberships are free, so simply click “submit”.

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Count Me In!

Non-Individual Memberships

Individual Members

Thank You!