AWEA Membership Application

c/o Leticia Rusch, Treasurer, P.O. Box 3499, Camden, AR 71711 870-574-4550 www.awea-ar.org

Personal Information
Last Name: / First Name: / M.I. / (Jr., Sr., P.E. etc.)
Business Name:
Billing Address:
Billing City: / Billing State: / Billing Zip:
Mailing Address:
Mailing City: / Mailing State: / Mailing Zip:
Phone Number: / Fax Number: / Cell Number:
Email Address:

Membership in the Water Environment Federation (WEF) includes AWEA membership, along with the full list of WEF benefits. To join both organizations, go to www.wef.org and click on “Become a Member”.

Membership in AWEA-only provides the following benefits as listed below:

Membership Level / Benefits / Dues / Total
AWEA / □ Arkansas (AWEA-only) Membership: Individuals who work in the field and/or non-supervisory wastewater professionals only. / √ The Digester newsletter
√Networking
√Certification programs
√Service on Committees
√Nomination for awards & recognition
√Training opportunities
√Career advancement
/ $20.00
□Throop Scholarship Donation: AWEA scholarship for college tuition for selected individual who is an Arkansas resident, enrolled in an Arkansas two or four year college or university or the Arkansas Environmental Academy, and who has a cumulative grade point average of at least 2.25 on a 4.0 scale on course work that applies toward graduation requirements.
·  Applicant must be Arkansas resident
·  Applicant must be enrolled in an Arkansas two or four year college or university or the Arkansas Environmental Academy.
·  Applications already attending a college or university must have cumulative grade point average of at least 2.25 on a 4.0 scale on course work that applies toward graduation requirements. Course work that does not apply toward graduation requirements will not be considered.
·  Special consideration shall be given to those candidates who are in their junior or senior year of academic studies in a four-year college or university or in the second year of an associate degree program.
·  Family members of AWEA members shall be considered first for scholarship awards.
□  / Optional
Please make checks payable to "AWEA" or
join and pay on-line at www.awea-ar.org.
□  Check □ Visa □ MasterCard □ Discover (We do not accept American Express)
Please print legibly
Credit Card Number: Expiration Date: CVV-3 Digit Code:
Billing Address:
Street City State Zip
“I authorize AWEA to charge my credit card for membership fees as indicated.”
Signature Amount $_

Please tell us who referred you to our Association: