Application to Join

This electronic form will be sent to the Network board for review.  You will be notified after the application has been fully processed.

NOTE: For a successful submission, please fill in all form fields.

Name of your facility:

Address:

Contact Person:

Telephone Number:

() -

Fax Number:

() -

Email Address:

Directions to your Facility:

Treatment plant process description:

Staffing Information:

Number of Operators: Certification Levels: Shifts Worked:

Which of the following do you feel that you can offer to the Network?:

Plant Tours

Training Assistance 

Benchmarking     

Other: 

Mentoring

Troubleshooting Assistance

New Equipment

Used Equipment

Please double check all form entries for completeness and accuracy.  When you are ready, click the button below to submit your application.