Telephone: 540-740-3329

Toll Free: 888-450-2409

Fax 540-740-4556.

Email: ewqa@shentel.net

Office Address:  PO Box 309, New Market, VA 22844

NEW MEMBERSHIP DUES PROGRAM STARTS

    EWQA is initiating a new membership dues program.  Be sure to watch for your renewal notice – it will be different.  Here are the new membership categories:

 Ø      Retailer/Dealer:  Any individual or firm engaged in any retail selling of water treatment equipment, products, and/or services to the end user.  Fees are:  1 or two persons per company $125.00 (inclusive); each additional person, $25.00 each.

Ø      Manufacturer/Supplier/Distributor:  Any individual or firm engaged in production or sale of equipment, parts, merchandise, or services to retail dealers.  Fees are: 1 or 2 persons per company, $230.00 (inclusive); each additional person, $25.00 each.

Ø      Associate Member:  Any individual or firm not involved in retail or wholesale of products or services.  Fee is:  $35.00 per person. 

 Memberships are renewable on a “subscription” basis; that is, you will receive a renewal notice in time to renew in the month in which you joined.

Membership Application  

Complete and mail along with payment to:  EWQA, P.O. Box 309, New Market, VA  22844.

 New Member: ____     Renewing Member: ____          Date: _______________

Company: _________________________________________________________________________

Mailing Address:  ___________________________________________________________________

Town/State/Zip Code: ______________________________________________________________

Telephone: ___________________   Fax: ___________________   Email: ____________________

Membership Categories:

Retailer/Dealer:  Any individual or firm engaged in any retail selling of water treatment equipment,

products, and/or services to the end user.

____   1 or 2 persons per company $125.00

____   Additional persons each $25.00

 Manufacturer/Supplier/Distributor:  Any individual or firm engaged in production or sale of equipment, 

parts, merchandise, or services to retail dealers.

____   1 or 2 persons per company $230.00

____   Additional persons each $25.00

  Associate:  Any individual or firm not involved in retail or wholesale of products or services.

____   each person $35.00

  Please Print Names:  Each member will receive the EWQA mailings.  If the member has a mailing address other than the address given above, please give the other address.  Use the back of the application if needed.

Primary Contact: _____________________________

Member:  _______________________________      Member:  _______________________________    

Member:  _______________________________      Member:  _______________________________

Member:  _______________________________      Member:  _______________________________

Length of time in the profession: _______________

Principal supplier of brand of equipment used: ___________________________________________

  I hereby make application for membership in the Eastern Water Quality Association and, if accepted, will abide by its bylaws and code of ethics, support its objectives and pay its membership dues.  

$_________ Total Amount Due (Checks payable to EWQA; or include credit card info below)

  Payment with Check#:______ ($20.00 return check fee)  

  Payment with Credit Card:  MC___   Visa ___ 

No. ________/________/________/________   Expiration date: ____________

Signature:  _______________________________________________________

last updated July 08, 2008    JS