NMRWA 2026 Annual System and Individual Membership Renewal

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
My Products* This field is required.
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Member 1-99 Connections
Member System 1-99 Connections
$175.00 one-time payment.
SUBSCRIBE
Member 100-249 Connections
Member System 100-249 Connections
$250.00 one-time payment.
SUBSCRIBE
Member 250-499 Connections
Member System 250-499 Connections
$360.00 one-time payment.
SUBSCRIBE
Member 500-1000 Connections
Member System 500-1000 Connections
$600.00 one-time payment.
SUBSCRIBE
Member 1001-1500 Connections
Member System 1001-1500 Connections
$850.00 one-time payment.
SUBSCRIBE
Member 1501-2000 Connections
Member System 1501-2000 Connections
$1,100.00 one-time payment.
SUBSCRIBE
Member 2001-2500 Connections
Member System 2001-2500 Connections
$1,300.00 one-time payment.
SUBSCRIBE
Member 2500+ Connections
Member System 2500+ Connections
$1,700.00 one-time payment.
SUBSCRIBE
Individual Member
Any person adhering to the purposes of the Association and desiring to assist in the work of the Association may become an individual non-voting member.
$175.00 one-time payment.
SUBSCRIBE
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2025
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Water/Wastewater System Name* This field is required.Please enter INDIVIDUAL if you are not renewing/joining as a water system.
5
Water/Wastewater System ID Number* This field is required.This should be your state or EPA assigned number. If this is an individual please enter NONE here. If you don't know what your system ID number is please enter UNKNOWN.
6
Primary Contact Name
7
Primary Contact Position
8
Primary Contact Phone
9
Primary Contact Email
10
System Physical Address with city, state, and zip
11
System Mailing Address with city, state, and zip
12
Number of residential connections
13
Number of non - residential connections
14
Population Served
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Services Provided
Water
Wastewater
Solid Waste
Other
16
Water System Type
Community
Non Community
Non Community Non Transient
Other
17
Water Sources
Surface Water
Ground Water
GWUDI
Purchased Water
18
Organizational Type
MDWCA
Cooperative
Water and Sanitation District
Municipal
Private
Other
19
Current Loans and/or Grants
USDA
NMFA/STATE
NMFA/SRF
Other
20
NMED DistrictShould be on your sampling forms.
21
Congressional District
22
Principal County Served
23
Average Residential Water Bill for 6000 gallons
24
Average Commercial Water Bill for 6000 gallons
25
Your Water is:
Metered
Disinfected
26
Storage Capacity
27
Age of System
28
Minimum Level Water Certification Required to Operate Your System
Small Water
Small Water Advanced
Level 1
Level 2
Level 3
Level 4
29
Residential Wastewater Connections
30
Non-Residential Wastewater Connections
31
Population Served by Wastewater System
32
Wastewater Rate
33
Age of System
34
Primary Wastewater Treatment Technology
35
Minimum Level Wastewater Certification Required to Operate Your System
Small Wastewater
Small Wastewater Advanced
Level 1
Level 2
Level 3
Level 4
36
Lead Water Operator Name
37
Lead Water Operator ID Number
38
Lead Water Operator Certification Level
39
Lead Water Operator Address
40
Lead Water Operator Phone
41
Lead Water Operator Email
42
Lead Wastewater Operator Name
43
Lead Wastewater Operator ID Number
44
Lead Wastewater Operator Certification Level
45
Lead Wastewater Operator Address
46
Lead Wastewater Operator Phone
47
Lead Wastewater Operator Email
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